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Pre-operative prediction of difficult laparoscopic cholecystectomy using clinical and ultrasonographic parameters.
Article in English | IMSEAR | ID: sea-65494
ABSTRACT

BACKGROUND:

Pre-operative prediction of a difficult laparoscopic cholecystectomy (LC) can help the patient as well as the surgeon prepare better for the intra-operative risk and the risk of conversion to open cholecystectomy.

METHODS:

In 105 eligible patients who underwent LC during May 2001 to January 2003, patient characteristics, clinical history, laboratory data, ultrasonography results and intra-operative details were prospectively analyzed to determine predictors of difficult LC.

RESULTS:

Of 105 patients, 12 (11.4%) required conversion to open cholecystectomy. Significant predictors of conversion were body mass index> 30 Kg/m2, male gender, past history of acute cholecystitis or acute pancreatitis, past history of upper abdominal surgery, and gall bladder wall thickness exceeding 3 mm.

CONCLUSION:

Clinical and ultrasonograpic factors can help predict difficult LC and likelihood of conversion of LC to open surgery.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Severity of Illness Index / Aged / Preoperative Care / Female / Humans / Male / Cholelithiasis / Incidence / Probability / Predictive Value of Tests Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Language: English Year: 2005 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Main subject: Severity of Illness Index / Aged / Preoperative Care / Female / Humans / Male / Cholelithiasis / Incidence / Probability / Predictive Value of Tests Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Language: English Year: 2005 Type: Article