Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery

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...

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Autores principales:	Hamdy Ahmed Mostafa salama, Salah Ayoub Soliman, Ayman Fahmy Elramah
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	laparoscopic cholecystectomy adhesions feasibility upper abdomen surgery Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/af65284b5f674766b5a6bbb18ff2d16e
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spelling	oai:doaj.org-article:af65284b5f674766b5a6bbb18ff2d16e2021-12-02T15:42:47ZFeasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery2636-41742682-378010.21608/ijma.2021.45006.1186https://doaj.org/article/af65284b5f674766b5a6bbb18ff2d16e2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_159220_228ef77a6f478eb79d03e389db7f8b60.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Hamdy Ahmed Mostafa salamaSalah Ayoub SolimanAyman Fahmy ElramahAl-Azhar University, Faculty of Medicine (Damietta)articlelaparoscopic cholecystectomyadhesionsfeasibilityupper abdomensurgeryMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1482-1493 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopic cholecystectomy adhesions feasibility upper abdomen surgery Medicine (General) R5-920
spellingShingle	laparoscopic cholecystectomy adhesions feasibility upper abdomen surgery Medicine (General) R5-920 Hamdy Ahmed Mostafa salama Salah Ayoub Soliman Ayman Fahmy Elramah Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
description	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.
format	article
author	Hamdy Ahmed Mostafa salama Salah Ayoub Soliman Ayman Fahmy Elramah
author_facet	Hamdy Ahmed Mostafa salama Salah Ayoub Soliman Ayman Fahmy Elramah
author_sort	Hamdy Ahmed Mostafa salama
title	Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
title_short	Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
title_full	Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
title_fullStr	Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
title_full_unstemmed	Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery
title_sort	feasibility of laparoscopic cholecystectomy in patients with previous upper abdominal surgery
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/af65284b5f674766b5a6bbb18ff2d16e
work_keys_str_mv	AT hamdyahmedmostafasalama feasibilityoflaparoscopiccholecystectomyinpatientswithpreviousupperabdominalsurgery AT salahayoubsoliman feasibilityoflaparoscopiccholecystectomyinpatientswithpreviousupperabdominalsurgery AT aymanfahmyelramah feasibilityoflaparoscopiccholecystectomyinpatientswithpreviousupperabdominalsurgery
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Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Upper Abdominal Surgery

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