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Vats, Atul
- Pilot Study of Laparoscopic Cholecystectomy in LLRM Medical College, Meerut
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Authors
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1 L.L.R.M Medical College, Meerut, IN
2 Deptt. of Surgery L.L.R.M Medical College, Meerut, IN
3 Deptt. of Surgery L.L.R.M, Meerut, IN
4 LLRM Medical College, Meerut, IN
1 L.L.R.M Medical College, Meerut, IN
2 Deptt. of Surgery L.L.R.M Medical College, Meerut, IN
3 Deptt. of Surgery L.L.R.M, Meerut, IN
4 LLRM Medical College, Meerut, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 1 (2012), Pagination: 64-65Abstract
Before 1987, when Mauret from France performed the first human Laparoscopic Cholecystectomy, open Cholecystectomy was considered the gold standard for performing Cholecystectomy. But as the technique grew & with wide acceptance of laparoscopy, Laparoscopic Cholecystectomy became the gold standard for Cholecystectomy. This study is done to evaluate our technique of Laparoscopic Cholecystectomy in terms of hospital stay, post-op pain & complications in patients of acute/chronic Cholecystitis with Cholelithiasis. All case of acute/chronic Cholecystitis with Cholelithiasis who presented in emergency/O.P.D of Surgery from July 2004 to 30th June 2010 (n= 141). Data regarding age group, sex, acute versus chronic, time taken(average operative time), conversion rate & reason for conversion, complications were obtained during the hospital stay & subsequent follow up of patients. Cholelithiasis was more commonly found in middle age group (4th decade)&majority of patients were female. Majority of patients had chronic Cholecystitis with Cholelithiasis (Acute:Chronic = 1: 10.75). Average operative time was one to one & half hour in the initial years & it decreased to thirty minutes in non acute eases & about one hour in acute cases. Ten (10) cases were converted to open Cholecystectomy due to bleeding & major complication^) like bile duct injury was observed in two{2} patients. This study suggests that Laparoscopic Cholecystectomy is far more superior to open Cholecystectomy in terms hospital stay, post-op pain, return to work & lesser incidence of wound infection.Keywords
Cholelithiasis, Cholecystitis, Laparoscopic CholecystectomyReferences
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