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VOLUME 2 , ISSUE 3 ( 2017 ) > List of Articles

ORIGINAL ARTICLE

Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study

Brijesh Sharma, Navendu Agarwal

Keywords : Adhesions, Delayed, Early, Laparoscopic cholecystectomy, Technique modifications

Citation Information : Sharma B, Agarwal N. Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study. J Mahatma Gandhi Univ Med Sci Tech 2017; 2 (3):114-117.

DOI: 10.5005/jp-journals-10057-0048

License: CC BY-NC-ND 3.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction Cholecystectomy is the most common surgery performed. The invention of laparoscopic cholecystectomy has made it extremely convenient and safe, but still the question of when to perform the surgery persists. This study attempts to compare the intraoperative findings of acute cholecystitis patients of the early and delayed group and its impact in surgery. Materials and methods Institutional-based prospective randomized control study was done on two groups of patients who were diagnosed and admitted to the General Surgery outpatient department (OPD) of Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India from November 2015 to November 2017. The early group was operated within 7 days of the appearance of symptoms and the delayed group was operated after 6 weeks. Intraoperative findings and modification of technique were duly noted in both and analysis done by applying the chi-square test. Results Acute complications are found to be more in an early group like turbid bile or pus with distended gallbladder in the early group, but adhesions are much more in the delayed group. Technique modification is more required in early as compared with the delayed group. Conclusion An early cholecystectomy is a convenient option for a patient with a nonsignificant technique modification to manage the intraoperative complications. How to cite this article Agarwal N, Sharma BK. Intraoperative Findings and Technique Modification in Acute Cholecystitis in Early and Delayed Groups of Laparoscopic Cholecystectomies: A Randomized Control Prospective Study. J Mahatma Gandhi Univ Med Sci Tech 2017;2(3):114-117.


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