The impact of the gallbladder wall thickness assessed by sonography on the outcome of laparoscopic cholecystectomy : a prospective study
Joint Authors
Taha, Safwan A.
al-Hilfi, Ali Dawud
al-Jawahir, Muhammad H.
Source
Issue
Vol. 17, Issue 2 (30 Sep. 2011), pp.30-36, 7 p.
Publisher
University of Basrah College of Medicine
Publication Date
2011-09-30
Country of Publication
Iraq
No. of Pages
7
Main Subjects
Topics
Abstract EN
Laparoscopic cholecystectomy first became popular during the late 1980s and now the procedure is consider the standard approach for symptomatic cholecystolithiasis.
This study aimed to assess the value of sonography in predicting intraoperative difficulties for patients undergoing laparoscopic cholecystectomy and in identifying indicators for conversion to open cholecystectomy.
This prospective clinical trial conducted in the Department of Surgery of Al-Sadir Teaching Hospital, Al-Mousawi private Hospital and Ibn Al-Baitar private Hospital in Basrah, Iraq, between January 2006 and October 2007.
Abdominal sonography performed in 100 consecutive patients before laparoscopic cholecystectomy.
The surgeon re-verified sonographic findings in the operating room.
Out of 100 patients with cholecystolithiasis on sonography, we encountered straightforward laparoscopic cholecystectomy in 72 patients (72 %), difficult laparoscopic cholecystectomy in 20 (20 %) and the procedure was converted to open cholecystectomy in 8 patients (8 %).
Forty two patients had sonography revealing gallbladder wall thickness (> 4 mm).
The accuracy of sonography for cholecystolithiasis was 99 %.
In conclusion, an accurate preoperative diagnostic sonography is mandatory for planned laparoscopic gallbladder surgery to provide information for the selection of the most appropriate approach and to avoid intraoperative difficulties and surprises.
On sonography, gallbladder wall thickening is the most sensitive indicator of technical difficulties during laparoscopic cholecystectomy, such difficulties may require conversion to laparotomy.
American Psychological Association (APA)
al-Hilfi, Ali Dawud& al-Jawahir, Muhammad H.& Taha, Safwan A.. 2011. The impact of the gallbladder wall thickness assessed by sonography on the outcome of laparoscopic cholecystectomy : a prospective study. Basrah Journal of Surgery،Vol. 17, no. 2, pp.30-36.
https://search.emarefa.net/detail/BIM-387559
Modern Language Association (MLA)
al-Hilfi, Ali Dawud…[et al.]. The impact of the gallbladder wall thickness assessed by sonography on the outcome of laparoscopic cholecystectomy : a prospective study. Basrah Journal of Surgery Vol. 17, no. 2 (Sep. 2011), pp.30-36.
https://search.emarefa.net/detail/BIM-387559
American Medical Association (AMA)
al-Hilfi, Ali Dawud& al-Jawahir, Muhammad H.& Taha, Safwan A.. The impact of the gallbladder wall thickness assessed by sonography on the outcome of laparoscopic cholecystectomy : a prospective study. Basrah Journal of Surgery. 2011. Vol. 17, no. 2, pp.30-36.
https://search.emarefa.net/detail/BIM-387559
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 36
Record ID
BIM-387559