•  
  •  
 

Corresponding Author

Helal, Mohamed

Document Type

Original Article

Abstract

Background: There are still a considerable percentage of patients in whom laparoscopic cholecystectomy (LC) cannot be successfully performed and conversion to open surgery is required. The potential risks have dissuaded some surgeons from using the laparoscopic procedure in patients with symptomatic gallstones and previous upper abdominal surgery (UAS). Aim of the study : The aim of the study was to evaluate the rate of Conversion from laparoscopic cholecystectomy in patient with previous upper abdominal surgery. Patients and methods: This was a retrospective study included collected records of 50 patients underwent cholecystectomy with previous upper abdominal surgery to detect rate of conversion among them in Al-Azhar University Hospitals & Damanhour Hospital. Results: In our study, regarding Techniques for safe entry to the abdomen among the participants, Safe entery of first trocar was our goal in all patients so we used different methods for 1st trocar insertion thus preventing injury to bowel or any structure that would adhere to abdominal wall, the Hasson's technique was used among 52%, Veress needle was used among 24%, Palmer's point was used among 18%, Visiport was used among 6% of the participants. Conclusion: laparoscopic cholecystectomy is a feasible and safe treatment for symptomatic gallstone disease in selected patients with previous upper abdominal surgery history. However, appropriate preoperative preparations, patients’ assessment, careful intraoperative techniques, and well-experienced surgeon are mandatory for good outcomes.

Keywords

Conversion to open surgery; Laparoscopic cholecystectomy; Upper abdominal surgery

Download

Share

COinS