Laparoscopic Cholecystectomy in a Hostile Abdomen, is it Feasible | ||||
| Benha Journal of Applied Sciences | ||||
| Article 17, Volume 5, Issue 7 part (1) - (2), October 2020, Page 99-104 PDF (729.38 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2020.137196 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| A.A. Yusuf; E.M. Oraby; A.K. Allam; M.G. Ebeed | ||||
| General Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| The appearance of laparoscopic cholecystectomy has been a critical achievement in the treatment of gallstone infection, yet in the development of careful treatment toward the negligible access approach. The point of this examination was to survey the plausibility and security of laparoscopic cholecystectomy in patients with an antagonistic midsection for example patients with past upper stomach medical procedure. This examination was carried on 30 patients who had past significant upper stomach medical procedure, with indicative cholelithiasis, barring patients with intense cholecystitis, basic bile conduit infection, and current pancreatitis. The patients were 13 guys (43.3%) and 17 (56.7 %) females. Their ages went between 29-75 years with a mean of 43.33 ± 11.41. All patients had upper stomach medical procedures, 16 of them (53.3%) had hernioplasty (13 of them were paraumbilical, one umbilical, one epigastric and one incisional). 9 cases (30%) had investigation, 3 had splenectomy (10%) and 2 had sleeve gastrectomy (6.7%). Attachments were found at the employable field in 9 cases (30%), at port locales in 5 cases (16.7%), at both the usable field and port destinations at 13 cases (43.3%) and away from the usable field for example not meddling with perception of the usable field in 3 cases (10%). The usable time ran somewhere in the range of 45 and 75 minutes with a mean of 58.0 ± 8.17. Laparoscopic cholecystectomy can be performed securely in patients with an antagonistic mid-region, It is the helpful methodology of decision for gallstones illness in patients with a background marked by past upper stomach medical procedure. | ||||
| Keywords | ||||
| Laparoscopic; Cholecystectomy; Hostile Abdomen | ||||
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