Abstract

Review Article

Anticipation of difficulty during laparoscopic cholecystectomy

Mohamed Salah Abdelhamid*, Ahmed Zaki Gharib, Mohammed Abdelaal Mohammed and Mahmoud Negida

Published: 24 July, 2020 | Volume 4 - Issue 2 | Pages: 024-028

Background: Laparoscopic cholecystectomy (LC), is one of the most commonly performed surgical procedures worldwide, it is accepted as the gold standard in the treatment of symptomatic gallstones for its minimal invasiveness, less pain and early recovery.

Purpose: To predict the difficulty of laparoscopic cholecystectomy in patients according to the recently published scoring system and select the difficult cases to be done by a senior surgeon.

Patients: This is a prospective cohort study. This study took place Oct 6th University Hospital and Kasr El Aini Hospital, Cairo university; the study involved 120 patients admitted with calcular cholecystitis, arranged for laparoscopic cholecystectomy.

Methods: Laparoscopic cholecystectomy after applying the scoring system.

Results: In our study we found that age, sex and ultrasonographic data were significant predictive factors for assessment preoperatively difficult cases that will be operated upon. We found 14 patients above 50 years who scored to be difficult and very difficult were at outcome difficult, only three patients converted to open surgery over fifty.

Conclusion: We can report that obese patient who were over fifty with history of previous upper abdominal surgery and ultrasonographic picture showed thick walled GB and pericholecystic collection had high risk of conversion. At this study scoring system was used for prediction of difficult laparoscopic cholecystectomy sensitivity was 93.75% and specificity was 52.94% of the scoring system at score 5 for prediction of easy or difficult laparoscopic cholecystectomy.

Read Full Article HTML DOI: 10.29328/journal.ascr.1001048 Cite this Article Read Full Article PDF

Keywords:

Laparoscopic cholecystectomy; Acute cholecystitis; Pancreatic duct

References

  1. Stinton L, Shaffer E. Epidemiology of gallbladder disease: cholelithiasis and cancer. Gut Liver. 2012; 6: 172-187. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3343155/
  2. Shaffer E. Epidemiology of gallbladder stone disease. Best Pract Res Clin Gastroenterol. 2006; 20: 981-996. PubMed: https://pubmed.ncbi.nlm.nih.gov/17127183/
  3. Litwin D, Cahan M. Laparoscopic cholecystectomy. Surg Clin North Am. 2008; 88: 1295-1313. PubMed: https://pubmed.ncbi.nlm.nih.gov/18992596/
  4. Buanes T, Mjaland O. Complications in laparoscopic and open cholecystectomy: a prospective comparative trial. Surg Laparosc Endosc. 1996; 6: 266-272. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8840447
  5. Hollington P, Toogood G, Padbury R. A prospective randomized trial of day-stay only versus overnight-stay laparoscopic cholecystectomy. Aust N Z J Surg. 1996; 69: 841-843. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10613279
  6. Vivek MAKM, Augustine A, Rao R. A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy. J Minim Access Surg. 2014, 10: 62-67. PubMed: https://pubmed.ncbi.nlm.nih.gov/24761077/
  7. Liu CL, Fan ST, Lai EC, Lo CM, Chu KM. Factors affecting conversion of laparoscopic cholecystectomy to open surgery. Arch Surg. 1996; 131: 98-101. PubMed: https://pubmed.ncbi.nlm.nih.gov/8546587/
  8. Yol S, Kartal A, Vatansev C, Aksoy F, Toy H.Sex as a factor in conversion from laparoscopic cholecystectomy to open surgery. JSLS. 2006; 10: 359-363. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015697/
  9. Alqahtani R, Ghnnam W, Alqahtani M. Role of male gender in laparoscopic cholecystectomy outcome. Int J Surg Med. 2015; 1: 1-9.
  10. Gabriel R, Kumar S, Shrestha A. Evaluation of predictive factors for conversion of laparoscopic cholecystectomy. Kathmandu Univ Med J. 1997; 7: 26-30. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19483449
  11. Younis K, Al-harbawi L, Ashoor O. Evaluation of Clinical Parameters that Predict Difficulties during Laparoscopic Cholecystectomy. 2013; 12: 175-180.
  12. Chang W, Lee K, Chuang S, Wang S, Kuo K, et al. The impact of prophylactic antibiotics on postoperative infection complication in elective laparoscopic cholecystectomy: a prospective randomized study. Am J Surg. 206; 191: 721-725. PubMed: https://pubmed.ncbi.nlm.nih.gov/16720138/
  13. Ibrahim S, Hean T, Ho L, Ravintharan T, Chye TN, et al. Risk factors for conversion to open surgery in patients undergoing laparoscopic cholecystectomy. World J Surg. 2006; 30: 1698–1704. PubMed: https://pubmed.ncbi.nlm.nih.gov/16927065
  14. Tosun A, Hancerliogullari KO, Serifoglu I, Capan Y, Ozkaya E.Role of preoperative sonography in predicting conversion from laparoscopic cholecystectomy to open surgery. Eur J Radiol. 2015; 84: 346-349. PubMed: https://pubmed.ncbi.nlm.nih.gov/25579475/
  15. Akyurek N, Salman B, Irkorucu O, Tascilar O, Yuksel O, et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery. JSLS. 2015; 9: 178-183. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015595/
  16. Baki A. Pre-Operative Prediction of Difficult Laparoscopic Cholecystectomy Using Clinical and Ultrasono- Abstract: Patients and Methods. 2006; 27: 1-7.
  17. Babu CSR, Sharma M. Biliary Tract Anatomy and its Relationship with Venous Drainage. J Clin Exp Hepatol. 2014; 4: S18-S26. PubMed: https://pubmed.ncbi.nlm.nih.gov/25755590/

 

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