ROLE OF ULTRASOUND IN PREDICTING OPERABILITY IN LAPAROSCOPIC CHOLECYSTECTOMY: A PROSPECTIVE ANALYSIS.

Main Article Content

Anand Kishore
Ikram Ilahi
Sourav Panda

Keywords

Laparoscopic cholecystectomy, Ultrasound gall bladder, pericholecystic fluid, cholelithiasis, Contracted gall bladder.

Abstract

Background : Now a days laparoscopic cholecystectomy is considered gold standard for symptomatic gall stone disease. Aim of our study was to identify predictors of difficult laparoscopic cholecystectomy based on different parameters on pre-operative ultrasound. 


Methods: This is a retrospective study conducted in department of general surgery, VIMS Gajraula, Uttar Pradesh from May 2022 to April 2023. A pre-operative ultrasound was performed on the morning of surgery for all patient undergoing laparoscopic cholecystectomy which was corelated with various intra-operative parameters. 


Results: A total of 110 patients were included in study. Most of the patients were of the age group between 40-50 years with average age of 43 years and 77 of the patients were females and 33 were male. Out of 110 patients, In 96 Patients laparoscopic cholecystectomy could be completed and remaining 14 required conversion to open surgery. According to ultrasound 25 cases were expected to be difficult. 14 patients required conversion to open surgery. 


Conclusion: Pre-operative ultrasound with assessment of wall thickness and other various parameters is a good predictor for anticipation of difficult cholecystectomy and helps in surgical planning for open conversion if any required.

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