Difficult Surgery, Laparoscopic Cholecystectomy, Ultrasonography
Conditions
Keywords
cholelithiasis, cholecystectomy, intraoperative findings
Brief summary
This research is designed to correlate between intraoperative status of gallstone disease patients with their USG findings. The key question it aims to answer is: Does the ultrasonography predict laparoscopic cholecystectomy will be difficult?Further analysis will aim to reveal: 1. Are there any specific parameters of ultrasonography that immediately concern the operating surgeon? 2. Should surgeons depend on the ultrasonography reports to counsel the patients differently?
Detailed description
Laparoscopic Cholecystectomy is the most common minimally invasive procedure and cholelithiasis is the major indication. It is associated with early recovery and better outcome yet not all patients have smooth recovery. USG is commonly used to diagnose gallstone disease. Not all cholecystectomies are straight forward and some will always face problems. So it is an added benefit if certain factors can predict such unexpected events and make surgeons alert for the same. From this study the investigators attempt to identify such factors in USG by comparing it with intraoperative findings and draw conclusions.
Interventions
observing the intraoperative findings during laparoscopic cholecystectomy and comparing it with the variable used in patient's USG report.
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients with gallstone disease in USG who underwent laparoscopic cholecystectomy
Exclusion criteria
* patient refusal * suspected or histological confirmation of gallbladder carcinoma * patients with dilated CBD and stones in CBD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time taken for surgery | immediately noticed during surgeyr | time taken for surgery is divided into 3 stages and filled accordingly |
| length of hospital stay | up to 7 days | patient admission being day 0 and counted till patient's discharge day (usually on 2nd day and upto 7 days) |
| complications | during surgery | conversion, bleeding and bile leak |
Countries
Nepal
Contacts
Nepal Medical College