Background: Previous abdominal surgery usually lead to adhesion formation, which considered as a contraindication of laparoscopic cholecystectomy (LC). However, it had been reported that, careful adhesiolysis could be performed and thus LC becomes feasible. Aim of the work: To assess the feasibility and outcome of laparoscopic cholecystectomy in patients with previous upper abdominal surgery. Patients and Methods: This study included 30 patients, who were presented by symptomatic gallstones. All participants assessed clinically. Then, a full lab profile was performed. Finally, abdominal ultrasound was done and if there was a dilatation of common bile duct, patients were submitted to magnetic resonance cholangiopancreatography. Both intra-and postoperative data were collected and any complications were documented. Results: 26 patients (86.7%) had chronic calcular cholecystitis, two had acute calcular cholecystitis and two had mucocele of gallbladder. Adhesions were grade 1 in 13.3%, grade 2 in 46.7%, grade 3 in 20% and grade 4 in 20.0%. Adhesiolysis was needed in twenty patients (66.7%). Intraoperative complications were reported in nine patients (40%). Bleeding reported in six patients and preformation of the gall bladder in three patients (10%). Three patients (10%) were converted to open surgery. Postoperatively, 12 patients (26.7%) had complications [3, 1, 2, 1 and 5 for port site wound infection, bile leakage, bleeding, and chest infection respectively). Post operative pain was mild in half of patients and moderate in other half. Conclusion: laparoscopic cholecystectomy after previous abdominal operations is relatively feasible and relatively safe, as nearly one third of patients had difficulties and complications.
Mostafa salama, H. A., Soliman, S. A., & Elramah, A. F. (2021). Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery. International Journal of Medical Arts, 3(2), 1482-1493. doi: 10.21608/ijma.2021.45006.1186
MLA
Hamdy Ahmed Mostafa salama; Salah Ayoub Soliman; Ayman Fahmy Elramah. "Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery". International Journal of Medical Arts, 3, 2, 2021, 1482-1493. doi: 10.21608/ijma.2021.45006.1186
HARVARD
Mostafa salama, H. A., Soliman, S. A., Elramah, A. F. (2021). 'Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery', International Journal of Medical Arts, 3(2), pp. 1482-1493. doi: 10.21608/ijma.2021.45006.1186
VANCOUVER
Mostafa salama, H. A., Soliman, S. A., Elramah, A. F. Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery. International Journal of Medical Arts, 2021; 3(2): 1482-1493. doi: 10.21608/ijma.2021.45006.1186
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