Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Preoperative Predictors of Difficult Laparoscopic Cholecystectomy

Suresh N. Huchchannavar, Flat S-1; Narmada Residency, Vijay Nagar, HUBLI-580032, Karnataka. , Suresh N. Huchchannavar* , Gurushantappa Yalagachin** , Prashant Raman***

Author Information

Licence:



New Indian Journal of Surgery 8(2):p 33-40, April - June 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.6

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Laparoscopic cholecystectomy (LC) is considered the treatment of choice for symptomatic cholelithiasis /cholecystitis. However, of all Laparoscopic cholecystectomy attempted, 1-13% requires conversion to open cholecystectomy.

Aims: The present study was conducted to ascertain various patient related pre- operative risk factors for difficult laparoscopic cholecystectomy.

Methodology: A prospective study was carried out at Karnataka Institute of Medical sciences, Hubballi, Karnataka. Forty-five cases diagnosed between 1st October 2013 to 31stJuly 2015 with gall stone diseases following exclusion criteria and undergoing laparoscopic cholecystectomy were considered for the study. They were evaluated with risk factors like age, sex, clinical findings, ultrasound imaging and hematological reports.

Results: LC was successfully accomplished in 43 patients (95.5%). Moderate bleeding occurred in 12 patients (26.67%) from the liver bed during gall bladder bed dissection. Gall bladder bed dissection was difficult in 19 patients (42.2%). Gall bladder perforation occurred in 10 patients (22.2%) while stone spillage occurred in 7 patients (15.5%) and were all retrieved. Extraction of the excised gall bladder was difficult in 10 patients (22.2%). Conversion to open cholecystectomy occurred in 2 patients (4%). The preoperative parameters that significantly predicted difficult LC were based on the presence of local signs of cholecystitis in addition to the ultrasound criteria of liver cirrhosis, impacted stone at the neck of the gall bladder and thick walled gall bladder exceeding 4mm.

Conclusions: Clinical and ultrasonographic findings may help predict a difficult LC. This information may be useful to both the patient and the treating surgeon.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.6

Keywords

Laparoscopic Cholecystectomy; Difficult; Predictors. 

Article Level Metrics

Last Updated

Sunday 21 June 2026, 20:50:21 (IST)

1754

Accesses

1
224
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share