PRE-OPERATIVECLINICO-RADIOLOGICALASSESSMENTOF DIFFICULTY IN LAPAROSCOPIC CHOLECYSTECTOMY

Abstract

Laparoscopic cholecystectomy (LC) is widely accepted as gold standard for treatment of symptomatic cholelithiasis1. Though considered the gold standard technique, it is also sometimes technically challenging for the surgeons in view of difficult intraoperative anatomy, difficulty in dissecting around the calot’s triangle or dense adhesions between the gall bladder and the adjoining structures. Gallstone disease is one of the most common problems affecting the digestive tract. The prevalence of gallstones is related to factors like age, gender, and ethnic background. The prevalence of gallstone varies widely from place to place. It is estimated that approximately 20 million people in the United States have gallstones and that approximately 1 million new cases of cholelithiasis develop each year. In India the prevalence is estimated to be around 4%2, changing incidence in India is mainly attributed to westernization of diet, change in socioeconomic structure and availability of ultrasound as investigation in both rural and urban
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