Laparoscopic Cholecystectomy for Acute Cholecystitis: Indication, Risk, and Outcome

Autor:	Md. Alomgir Islam, Shiladitya Shil, Ashutosh Deb Sarma, Md. Abdullah-Hel-Baki Abdul, Dr.Monira Begum
Rok vydání:	2021
Předmět:	Laparoscopic surgery medicine.medical_specialty Bile duct business.industry medicine.medical_treatment General surgery Jaundice medicine.disease medicine.anatomical_structure Seroma medicine Acute cholecystitis Cholecystitis Observational study medicine.symptom Complication business
Zdroj:	International Journal of Medical Science and Clinical Invention. 8:5508-5513
ISSN:	2348-991X 2454-9576
DOI:	10.18535/ijmsci/v8i06.010
Popis:	Background: A laparoscopic cholecystectomy is a fundamental approach to treating acute cholecystitis, and the timing of performing this given treatment is associated with clinical outcomes. It is unknown whether surgical indication, risk, and consequences of laparoscopic cholecystectomy for acute cholecystitis differ from those for the chronic form, making it questionable whether urgent laparoscopic cholecystectomy is the best approach even in severe acute cases. Objective: This study aimed to evaluate surgical indication, risk, and outcomes of laparoscopic cholecystectomy for acute cholecystitis. Methods: This prospective observational study was carried out at Bangladesh Medical College Hospital (Uttara Campus) from July 2006 to November 2008. A total of 103 acute cholecystitis patients were observed to evaluate the safety, risk, and outcomes (includes hospital stay, joining to routine daily works) of laparoscopic cholecystectomy. Result: Male and female ratio is 1:4, and the mean age in our series is 47 years. Acute calculas cholecystitis ultra-sonogram feature shows the highest percentage (85.4%) compare to the other four parts. The study also confirmations around 69% did not get any complications, and bleeding was the most frequently observed (16%) complication. The overall outcomes in this research were observed around 75% of total operated patients did not experience any difficulty and said they fit entirely. The other 19% who had some complications include Pain, RTI, Seroma, Jaundice, Cholangitis, Wound infection). Conclusion: Regarding bile duct injury and prolonged complications, laparoscopic surgery is not a very good treatment option for acute cholecystitis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5a60e32dc4ca0a428212ed716fb6e4ef https://doi.org/10.18535/ijmsci/v8i06.010 Zobrazit plný text záznamu