Laparoscopic Cholecystectomy: An Indian Experience of 1233 Cases

Kaushik, Robin; Batra, Rajender; Yadav, Thakur Deen; Attri, Ashok Kumar; Kaushik, Soma

doi:10.1089/109264202753486885

Cited by 19 publications

(13 citation statements)

References 8 publications

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“…However, having refined the search patterns repeatedly and having cross-referenced various studies, the results obtained do seem to be representative of the problem of bleeding encountered in relation to LC, although they should not be considered complete. The results of single-centre series of LC that have reported more than 1,000 cases in the last decade are tabulated as Table 1,[4–11] and multi-institutional studies and surveys with more than 5,000 patients analyzed are tabulated as Table 2. [12–22] Although various series have mentioned bleeding as a significant complication and a major cause of morbidity and mortality in LC, there seem to be no major reviews on this topic.…”

Section: Resultsmentioning

confidence: 99%

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Kaushik

2010

J Min Access Surg

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BACKGROUND:Laparoscopic cholecystectomy (LC) has established itself firmly as the ‘gold standard’ for the treatment of gallstone disease, but it can, at times, be associated with significant morbidity and mortality. Existing literature has focused almost exclusively on the biliary complications of this procedure, but other complications such as significant haemorrhage can also be encountered, with an immediate mortality if not recognized and treated in a timely manner.MATERIALS AND METHODS:Publications in English language literature that have reported the complication of bleeding during or after the performance of LC were identified and accessed. The results thus obtained were tabulated and analyzed to get a true picture of this complication, its mechanism and preventive measures.RESULTS:Bleeding has been reported to occur with an incidence of up to nearly 10% in various series, and can occur at any time during LC (during trocar insertion, dissection technique or slippage of clips/ ligatures) or in the postoperative period. It can range from minor haematomas to life-threatening injuries to major intra-abdominal vessels (such as aorta, vena cava and iliacs).CONCLUSION:Good surgical technique, awareness and early recognition and management of such cases are keys to success when dealing with this problem.

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Section: Resultsmentioning

confidence: 99%

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Kaushik

2010

J Min Access Surg

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“…The overall morbidity and mortality are comparable to OC; however, disconcertingly, even after more than two decades of experience, the rates of BDI after LC are definitely and significantly higher than those after OC [54][55][56][57][58][59][60][61] (Table 4).…”

Section: Laparoscopic Cholecystectomymentioning

confidence: 99%

Asymptomatic Gallstones (AsGS) – To Treat or Not to?

Behari

Kapoor

2011

Indian J Surg

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“…Traditionally the accepted conversion rate reported in literature ranges from 5%-10%. [20][21][22] In our series only one of the 144 patients (<1%) who underwent laparoscopic cholecystectomy had conversion. There was no instance of bile duct injury in our series.…”

Section: Discussionmentioning

confidence: 61%

“…This is in contrast to an overall incidence of bile duct injury of 0.2%-1% reported in literature. 7,[22][23][24] The mean postoperative hospital stay in our series was 2 days of which 76% of the patients undergoing laparoscopic cholecystectomy alone had a stay of one day. The overall experience in our series is similar to that reported by Coelho etal.…”

Section: Discussionmentioning

confidence: 99%

Cholecystectomy for Asymptomatic Gallstones: Clinicopathological Study

Ibrarullah¹

2018

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Background: Treatment of asymptomatic gallstones is a matter of debate. Aim: The present study was undertaken to find justification for prophylactic cholecystectomy. Method: The clinical profile, safety of cholecystectomy and extent of histological changes, in patients with asymptomatic gallstones were evaluated. Result: 150 consecutive patients with incidentally detected gallstones were included in the present study. 122 patients underwent laparoscopic cholecystectomy alone. The procedure was converted to open cholecystectomy in one (0.8%).The duration of surgery was less than 1 hr in 96, between 1-2 hrs in 30 and more than two hrs in 24 patients. There was no postoperative death and no major complications. Histology of gallbladder specimen showed features of chronic cholecystitis in all patients. In addition, gastric metaplasia, intestinal metaplasia and dysplasia, considered to be precursors of malignancy, were also noted in significant number of patients. Adenocarcinoma and carcinoma in situ were reported in one patient each (1.3%). Conclusion: Our study has shown that laparoscopic cholecystectomy is technically less demanding and can be safely performed in patients with asymptomatic gallstones. Despite clinically being silent, the stone/s induces inflammatory changes in the gallbladder wall that may predispose to malignancy. A slightly higher incidence of malignancy in the present series may be a reflection of endemicity of the disease. Hence, cholecystectomy should be offered to good risk patients even if the patient has asymptomatic gall stone disease.

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Laparoscopic Cholecystectomy: An Indian Experience of 1233 Cases

Cited by 19 publications

References 8 publications

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Asymptomatic Gallstones (AsGS) – To Treat or Not to?

Cholecystectomy for Asymptomatic Gallstones: Clinicopathological Study

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