Abstract

- Laparoscopic cholecystectomy is now accepted as the new gold standard for the treatment of symptomatic gallbladder disease. The main aim of this study is to look some preoperative predictor factors in ultrasound which can provide some idea about potential difficulties and complications that can be encountered by surgeons during laparoscopic cholecystectomy which can cause require conversion to open cholecystectomy. It is safe and effective in most of the cases but, is not free of complications and has some inherent disadvantages. Ultrasonography (USG) is the first investigation for diagnosing cholelithiasis with sensitivity and specificity of >90%. This study uses certain ultrasonographic parameters like gall bladder (GB) wall thickness, gall bladder size, gall bladder stone mobility and common bile duct (CBD) diameter, in the patients presenting with chronic calculus cholecystitis to predict difficulty during laparoscopic cholecystectomy and conversion to open cholecystectomy Methods: this is an analytical cross-sectional prospective cohort study which includes 68 patients having symptomatic cholelithiasis in a one year. All patients underwent elective LC in Department of General Surgery in tertiary care center at Nagpur. Data were included preoperative ultrasonographic finding with intraoperative factors associated with difficult laparoscopic cholecystectomy. Continuous variables were presented as mean ± SD and categorical variables were presented as absolute numbers and percentage. Nominal categorical data between the groups were compared using Chi-squared test or Fisher’s exact test as appropriate. Regression analysis was also done to predict the USG findings to assess the outcomes. Statistical analysis was conducted with the SPSS (statistical package for the social science system) version 20.0, For all statistical tests, a p value less than 0.005 is significant. Results: In this study, a strong statistical correlation was found between preoperative ultrasound prediction factors and difficult laparoscopic cholecystectomy

Description

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