EVALUATION OF FUNDUS FIRST LAPAROSCOPIC CHOLECYSTECTOMY IN CASES OF ACUTE CHOLECYSTITIS: THEODOR BILHARZ RESEARCH INSTITUTE EXPERIENCE | ||||
| Journal of the Egyptian Society of Parasitology | ||||
| Article 23, Volume 49, Issue 1, April 2019, Page 195-200 PDF (326.69 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jesp.2019.68302 | ||||
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| Authors | ||||
| MOHAMED ABBAS; AHMED MOHAMED ABDELAAZIZ HASSAN; YOUSSEF F. YOUSSEF; HESHAM ABD ALAZIZ | ||||
| Department of General Surgery, Theodor Bilharz Research Institute, P.O Box 30, Imbaba 12411, Giza, Egypt. | ||||
| Abstract | ||||
| This study included 125 patients with acute cholecystitis of them 29 were males. All were subjected to fundus-first (FF) laparoscopic cholecystectomy. The mean operative time was 63±8 minutes (range 37-95 minutes). There were 4 cases of prolonged post-operative bile leakage, 3 of them stopped spontaneously within one week, and last one needed an endoscopic biliary stent. Gall bladder perforation with peritoneal contamination occurred in 6 patients. Laparoscopic trans-choledochal CBD exploration was indicated in 3 patients due to residual stone in intra-operative cholangiography. Conversion to open cholecystectomy was acquired in 4 patients the mean hospital stay was 1.6 days (range 6 hours to 5 days) except those with post-operative bile leakage that stayed from 8-14 days. Key words: acute cholecystitis, laparoscopic cholecystectomy, | ||||
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