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Research Paper | Surgery | India | Volume 13 Issue 7, July 2024 | Popularity: 6.2 / 10

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A Retrospective Study to Determine the Thickness of the Gallbladder Wall and its Outcomes on Patients Undergoing Laparoscopic Cholecystectomy

Dr. Sailesh Kumar, Dr. Krishna Prasad K, Dr. Shashirekha CA, Dr. Pramodh KN, Dr. Sanjana G K

Abstract: Background: Elective laparoscopic cholecystectomy (LC) has replaced open cholecystectomy as the gold standard for treating symptomatic gallstone disease. With the advent of this procedure has led to smaller incision, less pain and shorter hospitalisation. USG scan provides a decent anatomical information and therefore is indicated for a decent anatomical delineation. Despite the fact that such a finding is seen in a variety of different medical disorders, gallbladder wall thickening is a common finding and has attracted significant study because it is thought to be a defining feature of acute cholecystitis. The aim of this study was to evaluate preoperative gall bladder wall thickness by ultrasonography and assess its impact on the outcome of laparoscopic cholecystectomy, including conversion rate, operative time, and postoperative hospital stay. Materials and Methods: The study was approved by institutional ethical committee. We retrospectively analysed the thickness of gall blader wall with usg reports and the postoperative period of 107 patients who underwent Laparoscopic Cholecystectomy from april 2023 to april 2024 in RL JALAPPA hospital. All the patients who underwent laparoscopic Cholecystectomy for gall stone disease were included. gall bladder malignancies and perforation were excluded. Results: In patients with gall bladder wall thickness more than 5mm there was a conversion rate of 6.54%, significantly prolonged intraoperative period and prolonged hospital stay when compared to patients with gall bladder wall thickness less than 5mm. Conclusion: Based on this study, we infer that gall bladder wall thickness is one of the indicator for increased conversion rate, increased intraoperative time and postoperative hospital stay.

Keywords: Laparoscopic cholecystectomy, USG, Gallbladder wall thickness, Conversion rate, intraoperative time, postoperative hospital stay

Edition: Volume 13 Issue 7, July 2024

Pages: 396 - 399

DOI: https://www.doi.org/10.21275/SR24707152213

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