Prediction of Difficulty of Laparoscopic Cholecystectomy by Preoperative Ultrasonography: A Randomized Control Trial

Prediction of Difficulty of Laparoscopic Cholecystectomy by Preoperative Ultrasonography: A Randomized Control Trial

Dr. Kulbhushan Haldeniya

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Dr. Puneet Malik

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Dr. Rohit Maheshwari

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Dr. Dinesh Sharma

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Dr. (Proff.) Rajendra Mandia

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Rajasthan University of Health Sciences

Prediction of Difficulty of Laparoscopic Cholecystectomy by Preoperative Ultrasonography: A Randomized Control Trial

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Abstract

The aim of this study was to determine whether the preoperative USG finding can predict the difficulty during the laparoscopic cholecystectomy and its conversion. 500 patients undergoing Laparoscopic cholecystectomy at Sawai Mansingh Medical College and attached Hospital were included. Sonographic parameters like Gall Bladder wall thickness, antero posterior diameter of Gall Bladder in fasting state, impacted gall stone, CBD diameter were taken into consideration and difficulties in terms of time taken for surgery, cystic duct injury; cystic artery injury and lead to conversion were analyzed. Of the 400 cases, 24 (6.0%) were converted to open procedure. Of the 144 (36%) cases predicted to be difficult, 116 (29%) were technically difficult, of which 18 (4.5%) were converted to open procedure. Of the 256 (64%) cases predicted to be easy on ultrasonography, 19 (4.75%) were found to be difficult on surgery, of which only 6 (1.5%) had to be converted to open procedure. In univariate analysis all the sonographic parameters we had included in this study were statically significant (p value

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Dr. Kulbhushan Haldeniya. 2015. \u201cPrediction of Difficulty of Laparoscopic Cholecystectomy by Preoperative Ultrasonography: A Randomized Control Trial\u201d. Unknown Journal GJMR-I Volume 14 (GJMR Volume 14 Issue I6).

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Keywords

cholecystectomy cholelithiasis gall bladder laparoscopy ultrasonography

Submission ReceivedDecember 6, 2013
Peer Review Double Blind
Handling Editor
Accepted January 3, 2014
Published January 15, 2014

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v1.2

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January 9, 2015

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Article Matrices

Total Score: 130

Country: India

Subject: Uncategorized

Authors: Dr. Kulbhushan Haldeniya, Dr. Puneet Malik, Dr. Rohit Maheshwari, Dr. Dinesh Sharma , Dr. (Proff.) Rajendra Mandia (PhD/Dr. count: 5)

View Count (all-time): 194

Total Views (Real + Logic): 4341

Total Downloads (simulated): 2192

Publish Date: 2015 01, Fri

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Total Views: 4341

Total Downloads: 2192

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