ROLE OF ULTRASONOGRAPHY TO DETERMINE DIFFICULTY IN LAPAROSCOPIC CHOLECYSTECTOMY.
Abstract
Background:Gallstones constitute a significant health problem in developed societies, affecting 10% to 15% of the adult population. In 1992, The National Institute of Health (NIH) accord advancement meeting expressed that laparoscopic cholecystectomy "gives a safe and effective treatment to most patients with symptomatic gallstones.
In about 2 to 10% of laparoscopic cholecystectomy, conversion to open cholecystectomy is needed for safe removal of gallbladder.
Aim of study: To study the various ultrasonographic parameter which may predict difficulty in performing laparoscopic cholecytectomy
Materials and methods: The materials for the present study on “clinical study to determine factors for difficulty in laproscopic cholecytectomy ” comprises of 118 cases admitted to PADMASHREE DR. D.Y. PATIL hospital and research institute, Kolhapur from may 2014 to may 2016 a period of 24 months.
Results: The highest age incidence of cholelithiasis was in the 3rd decade, and was more common in females. Pain abdomen was the most common symptom. The only complication was of port site infections in 1.6% (n=2) and in both cases there was biliary spillage. impacted stone (P<0.0001) and pericholecystic collection (P<0.0001) were significant predictors of difficult laparoscopic cholecystectomy.
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