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137933

Predictive Factors of Difficult Laparoscopic Cholecystectomy

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Last updated: 03 Jan 2025

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Abstract

Background: Laparoscopic cholecystectomy is considered the gold standard treatment of symptomatic cholelithiasis, preoperative prediction of the difficult surgery is an important aspect of planning laparoscopic surgery.
Objective: The purpose of this prospective study is to evaluate, analyze, and document different predictive factors of difficult laparoscopic cholecystectomy and whether conversion rate to open surgery and complications can be minimized during laparoscopic cholecystectomy. Patients and Methods: This is a prospective clinical study done on 100 patients complaining of calcular cholecystitis admitted to having (LC) at the Department of Surgery Faculty of Medicine Al-Azhar University Hospital in Assiut and Al-Arish General Hospital from May 2018 to January 2020. Results: Univariate analysis of pre-operative risk factors versus operative data variables showed that male gender was associated with prolonged operative time. Age above 45 years was associated with prolonged dissection time, GB bed dissection time. BMI of 30 or more was associated with prolonged GB bed dissection time. Palpable GB was associated with prolonged operative time, prolonged GB bed dissection time, prolonged GB extraction time, and increased risk for conversion to open surgery. Distended GB in ultrasound was associated with prolonged operative time. Solitary stone in GB was associated with prolonged extraction time. Conclusion: Pre-operative factors can help to predict a difficult LC. This information may be useful to both the patient and the treating surgeon. Prediction of a difficult procedure would allow the surgeon to discuss the likelihood of conversion with the patient and prepare him/her psychologically as well as planning their recovery and explaining their absence from work.

DOI

10.21608/ejhm.2021.137933

Keywords

Laparoscopic cholecystectomy, Predictive factors

Authors

First Name

Esmail Tharwat Kamel

Last Name

Awad

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

Email

esmailsarwat95@gmail.com

City

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Orcid

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First Name

Mohammed Abdel Fattah

Last Name

Abdel Rahim

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed Mohamed

Last Name

Hassan

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Al-Azhar University, Assiut, Egypt

Email

-

City

-

Orcid

-

Volume

82

Article Issue

1

Related Issue

20276

Issue Date

2021-01-01

Receive Date

2021-01-10

Publish Date

2021-01-01

Page Start

67

Page End

73

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 1_Pages 67-73.pdf

PDF . 440.8kB

Link

https://ejhm.journals.ekb.eg/article_137933.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=137933

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictive Factors of Difficult Laparoscopic Cholecystectomy

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Type

Article

Created At

22 Jan 2023