The effect of single incision laparoscopic cholecystectomy on systemic oxidative stress: a prospective clinical trial

Ece, Ilhan; Öztürk, Bahadır; Yılmaz, Hüseyin; Yormaz, Serdar; Şahi̇n, Mustafa

doi:10.4174/astr.2017.92.4.179

Cited by 7 publications

(4 citation statements)

References 21 publications

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“…Use of drain helps in managing hemorrhage and biliary leak. 11 Risk of infections and abscess formation can be reduced by following sterile methods and by avoiding bile and gallstone spillage during the procedure. In case of spillage, thorough irrigation should be used and stones should be retrieved to prevent abscess formation.…”

Section: Cbd Injurymentioning

confidence: 99%

Study of open cholecystectomy for gallbladder disorders

Kumar

Reddy

2021

Int Surg J

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Background: Cholecystectomy is one of the most common surgeries done worldwide. Most common indication is biliary colic due to cholelithiasis. Presently most cholecystectomies are done by laparoscopic approach, however conversion to open cholecystectomy is needed in few circumstances and there are some absolute indications for open cholecystectomy where laparoscopic procedure can’t be done.Methods: This is a prospective observational study of 50 open cholecystectomies operated during March 2017 to Feb 2019 in our medical college. Various data including demographic data of patients, different indications, post-operative complications were documented and analyzed.Results: Mean age of the patients was 40.58 (16-65) years. Female patients were more in number 32 (64%) when compared with males. Maximum patients were in the age group 31-40 years accounting to 17 (34%) of study population. Pain abdomen 24 (48%) was the chief presenting complaint. Cholelithiasis 38 (76%) was the major indication for surgery. Complications like bile leak, bleeding, subphrenic abscess and infection occurred in 04 (08%) patients. Total four cases of laparoscopic cholecystectomy were converted to open cholecystectomy. Mean hospital stay was 7.48 (5-14) days.Conclusions: Even though laparoscopic cholecystectomy is the gold standard in the present era, it is important that the surgeon is also competent in doing open cholecystectomy. Certain conditions require planned open cholecystectomy as the standard procedure. In difficult laparoscopic cases, the surgeon must take timely decision to convert to the open technique. Surgeons experience and proper clinical judgment skills are important in difficult cases.

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Section: Cbd Injurymentioning

confidence: 99%

Study of open cholecystectomy for gallbladder disorders

Kumar

Reddy

2021

Int Surg J

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“…Operative cholangiogram or common bile duct exploration is reliant on factors allied with common bile duct stones, for example, elevated bilirubin and dilated common bile duct (over 8 mm). The abdomen is then closed in a standard multilayer fashion [17,18] . There are times where the gallbladder is tense and distended from inflammation that might require to be drained with a decompression needle before starting the procedure.…”

Section: Positioningmentioning

confidence: 99%

Patient Compliance in Laparoscopic Cholecystectomy versus Open Cholecystectomy

Alghamdi

Alzahrani

Almutairi

et al. 2018

Egyptian Journal of Hospital Medicine

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Gallbladder disease is one of the most mutual procedures done worldwide. Earlier, an open technique was the regular procedure for cholecystectomy. This typically encompassed performing an intraoperative cholangiogram, and individuals regularly had a two to six-day post-operative hospital stay. With the introduction of laparoscopic surgery and the laparoscopic cholecystectomy in the early 1990s, the standards for cholecystectomy have changed to a laparoscopic technique. This technique presented a 30% increase in the overall performance of elective cholecystectomies. Nowadays, 92% of all cholecystectomies are performed laparoscopically. There are numerous signs in performing open cholecystectomies, and this procedure residues a significant part of training for the general surgery resident. Laparoscopic cholecystectomy is indicated for the treatment of cholecystitis (acute/chronic), gallstone pancreatitis, acalculous cholecystitis, biliary dyskinesia, symptomatic cholelithiasis, and gallbladder masses/polyps. These indications are the same for an open cholecystectomy. Cases of gallbladder cancers are usually best treated with open cholecystectomy.

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“…Although laparoscopic surgery is less traumatic to the patient, the intraoperative procedure can still lead to stress response, and that caused by anesthesia is the most intense throughout the procedure. 4,5 The ideal laparoscopic surgery requires rapid induction of anesthesia, adequate sedation and analgesia, rapid recovery after discontinuation, no restlessness, no respiratory depression or residual drug effects. 6 Remifentanil is a -opioid receptor agonist of the fentanyl category and is an anesthetic and analgesic commonly used in general anesthesia.…”

Section: Introductionmentioning

confidence: 99%