Academic literature on the topic 'Laparoscopic Cholecystectomy (LC)'
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Journal articles on the topic "Laparoscopic Cholecystectomy (LC)"
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Jabeen, Mudassar, Bushra Jamil, and Shehzad Amjad Khan. "LAPAROSCOPIC CHOLECYSTECTOMY." Professional Medical Journal 25, no. 10 (2018): 1503–9. http://dx.doi.org/10.29309/tpmj/18.4838.
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Introduction: Since the first laparoscopic cholecystectomy (LC) was reportedin 1990, it has widespread acceptance as a standard procedure using four trocars. The fourth(lateral) trocar is used to grasp the fundus of the gall bladder to expose calot`s triangle. Withincreasing surgeon experience, LC has undergone many refinements including reductionin port number and size. Three port LC has been reported to be safe and feasible in manyclinical trials. Objectives: To compare the operative time and of three ports versus four portlaparoscopic cholecystectomy. Study Design: Randomized Controlled Trials. Setting: SurgicalDepartments, Allied & Civil Hospitals Faisalabad. Period: 15-09-2010 to 15-03-2011. Materialand Methods: 132 Patients who underwent elective laparoscopic cholecystectomy wererandomized to undergo either the 4-port. (Group A) or the 3-port LC (group B).66 patients ineach group. Results: Mean Operative time was 25.14±4.19 minutes in group A and 25.35±4.34in group B. (p value-0.774). Mean VAS score at 12th postoperative hour was 5.37±0.993 ingroup A and 4.52±0.986 in group B. (p value <0.0001). Conclusion: Three port Laparoscopiccholecystectomy did not affect, operative time. However it resulted in less early postoperativepain in three port LC.
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Umman, Philip, Clyde R. Menezes, Ashish Bosco, and Nandakumar Menon. "An ergonomic modification of the American position for laparoscopic cholecystectomy in a rural setting." International Surgery Journal 6, no. 8 (2019): 2982. http://dx.doi.org/10.18203/2349-2902.isj20193354.
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Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic gallstone disease. As a result of the significant investments in setting up a laparoscopy unit and training nursing staff in laparoscopic techniques, the cost of laparoscopic surgery is higher. However, the urban poor and rural population of India stand to benefit most from laparoscopy, owing to the shorter recovery times and reduced post-operative pain. The American and French positions have been described for laparoscopic cholecystectomy. Studies on ergonomics in laparoscopy deal mainly with issues related to the operating surgeon. There is not much literature on the issues faced by the team members during laparoscopy, especially in resource constrained settings. The authors propose a modification of the American position for LC, which enhances comfort and vision for the scrub nurse and also helps the surgeon guide the novice staff in LC.
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Begum, Mst Mamtaz, Mohammad Farid Hossain, and Agatha Prianka Rozario. "Surgical Outcomes of Needlescopic Cholecystectomy Versus Laparoscopic Cholecystectomy- A Comparative Study in A Specialized Hospital in Bangladesh." SAS Journal of Surgery 10, no. 02 (2024): 178–83. http://dx.doi.org/10.36347/sasjs.2024.v10i02.010.
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Background: Needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) are both minimally invasive surgical techniques used for the removal of the gallbladder in patients with gallbladder disease, primarily gallstones. The comparison of surgical outcomes between needlescopic cholecystectomy (NSC) and laparoscopic cholecystectomy (LC) has been a subject of interest among surgeons and researchers. Aim of the study: The aim of the study was to compare the surgical outcomes of needlescopic cholecystectomy versus laparoscopic cholecystectomy. Methods: This was a prospective observational study conducted in the Department of General & Laparoscopy Surgery, Evercare Hospital, Dhaka-Bangladesh from December 2022 to November 2023. A total of 50 symptomatic cholelithiasis patients were randomly selected as the study population. The total 50 patients were equally divided into two groups, Group A underwent Needlescopic cholecystectomy, and Group B underwent laparoscopic cholecystectomy. Data analysis was performed using MS Office tools and SPSS version 23.0 program. Results: In this study, intraoperative incidents were less frequent, with 28% in the Needlescopic group and 36% in the Laparoscopic group. Wound length in the epigastrium was significantly smaller in the Needlescopic group (3.9 mm vs. 13.1 mm in Laparoscopic). In the hypochondrium, Needlescopic patients had a 3.7 mm wound, while Laparoscopic patients had 7.9 mm. In the flank region, Needlescopic patients had a 4.2 mm wound, compared to 8.8 mm in Laparoscopic patients. According to a 10-grade VAS scale, satisfaction scores were 9.8 for Needlescopic and 9.6 for Laparoscopic cholecystectomy patients. Conclusion: Needlescopic cholecystectomy has clear advantages over laparoscopic cholecystectomy, with fewer intraoperative incidents, reduced post-operative pain, and smaller wounds, resulting in less discomfort, minimal scarring, and a quicker recovery. Late postoperative complications are also less .........
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Helic, Bakir, Larisa Helic, and Hajrudin Osmic. "Reasons for laparosopic cholecystectomy conversion in a small general hospital." South-East European Endo-Surgery Journal 2, no. 2 (2024): 169–75. http://dx.doi.org/10.55791/9g5bqk64.
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Background: Laparoscopic cholecystectomy is one of the most common procedures in abdominal surgery. This procedure is the gold standard for the treatment of symptomatic cholelithiasis and acute cholecystitis. However, thedifficulty and possibility of safely performing laparoscopic cholecystectomy vary considerably due to the variety of local findings and the course of the procedure. If it is not possible to complete the procedure safely by laparoscopy, due to intraoperative complications or to avoid the occurrence of complications, it is necessary to convert laparoscopic cholecystectomy to open cholecystectomy.Methods: We performed retrospective research on cases of cholecystectomy performed on all patients at the Dr. Mustafa Beganović General Hospital in Gračanica from 2014 to 2020, which were started by laparoscopy and finished using laparoscopy or converted to open cholecystectomy. Results: There were 888 cases that started as laparoscopic cholecystectomy. In 43, or 5.39% of cases laparoscopic cholecystectomy was converted to open cholecystectomy. The most common reasons for conversion from LC to OC were adhesions, the inability to identify anatomical structures, and inflammation.Conclusion: The number of conversions in our sample is in accordance with the data from the relevant research and at the same time the incidence of bile duct injuries is very low.
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Rihan, Maged. "Laparoscopic subtotal cholecystectomy in severe cholecystitis with unclear anatomy." International Surgery Journal 7, no. 12 (2020): 3929. http://dx.doi.org/10.18203/2349-2902.isj20205345.
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Background: Aim of the study was to determine the differences between laparoscopic cholecystectomy and laparoscopic subtotal cholecystectomy as regards bile duct injury and post-operative complications rates in patients with severe cholecystitis and obscure anatomy.Methods: We retrospectively reviewed the charts and postoperative outcomes of 293 patients with severe cholecystitis who underwent either laparoscopic cholecystectomy or laparoscopic subtotal cholecystectomy between September 2011 and January 2020. Patients with intraoperative altered anatomy which leaded to difficult dissection were defined as having severe cholecystitis.Results: There were 304 cholecystectomies done for patients with severe cholecystitis. Of those, 203 underwent laparoscopic cholecystectomy (LC group), 90 underwent laparoscopic subtotal cholecystectomy (LSC group). There was no significant difference in male to female ratio, age, cases performed on an elective or emergency basis, hospital length of stay or initial operative findings. There were 5 patients with detected intraoperative biliary injury in LC group only. Postoperative bile leaks were significantly higher in the LSC (11.1%) than in the LC group (3.9%). Postoperative collections which needed percutaneous aspiration were also significantly higher in the LSC group (18.9%) than in the LC group (7.4%). Reoperation for collection was required in 8 patients in LC group and in 5 patients in LSC group. The rates of retained common bile duct stones, port site hernia, wound infections, and total complications were not significantly different between the two groups (28.1% v. 45.6%).Conclusions: Our study demonstrated that laparoscopic subtotal cholecystectomy is a safe procedure which reduces the risk of bile duct injury and is comparable to laparoscopic cholecystectomy in patients with severe cholecystitis with unclear anatomy.
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Murshid, Dr Mohsin Yahya, Dr Abdulhamed Jameel Murshid, and Dr Farrukh Alim Ansari. "Early vs. Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis – A Single Center Study." SAS Journal of Surgery 9, no. 02 (2023): 59–64. http://dx.doi.org/10.36347/sasjs.2023.v09i02.002.
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Introduction: Laparoscopic cholecystectomy is regarded as the gold standard for the treatment of acute cholecystitis; however the timing of the procedure is controversial. There exist studies that support both early and delayed laparoscopic cholecystectomy. Aim: The aim of the study is to determine which modality: early or delayed laparoscopic cholecystectomy is the preferred timing in the treatment of acute cholecystitis by examining: duration of hospitalization, conversion rate, duration of surgery and intraoperative, postoperative complications. Materials and Methods: This was a retrospective study of 300 patients. Laparoscopic cholecystectomy was performed within 72 hours of admission for patients in the Early LC Group. Patients in the Delayed LC group were treated conservatively and discharged They were readmitted 6-12 weeks later for elective laparoscopic. Results: The mean operating time was 83.55 mins vs. 60.72 mins in the delayed group, conversion rate in Early LC Group was 5.3% vs. 8.0 % in the delayed LC group. The mean postoperative hospital stay was 1.98 days in the earlier group and 3.35 days in the delayed group. Overall mortality was zero. Conclusion: Early laparoscopic cholecystectomy within 72 hours of symptom onset offers both medical and economic benefits and should be the preferred method for patients treated by surgeons with adequate laparoscopic cholecystectomy experience.
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Brune, Iris B., K. Schönleben, and S. Omran. "Complications After Laparoscopic and Conventional Cholecystectomy: A Comparative Study." HPB Surgery 8, no. 1 (1994): 19–25. http://dx.doi.org/10.1155/1994/59865.
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The growing popularity of laparoscopic cholecystectomy (LC) has made extensive series comparing laparoscopic and conventional cholecystectomy in a prospective, randomized way nearly impossible. To evaluate LC we compared retrospectively 800 laparoscopic with 748 conventional cholecystectomies (CC). Of the 800 LC, 10 (1.2%) were converted to laparotomy. 6 conversions were related to aberrant anatomical features or features making dissection very difficult, 4 conversions were due to complications. There were 5 (0, 6%) intraoperative complications during LC and 4 (0.5%) during CC. Postoperative morbidity was 2.1% (n = 17) after LC and 3.7% (n = 28) after CC. Particularly the incidence of wound problems was only 0.5% (n = 4) after LC while it was 1.3% (n = 10) after CC. Overall morbidity was 2.7% (n = 22) for LC and 4.2% (n = 32) for CC. Mortality rate after CC was 0.4% (n = 3), there were no deaths after LC. Common bile duct-injury rate was 0.2% (n = 2) for both groups. Complication rates after LC have been rapidly decreasing with growing experience. Laparoscopic cholecystectomy can safely be performed by appropriately trained surgeons in more than 90% of patients suffering from gallbladder disease. The low morbidity and mortality together with the significant advantages to patient recovery makes laparoscopic cholecystectomy the treatment of choice for symptomatic cholecystolithiasis.
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Bohara, Tanka Prasad, Adarsh Gurung, Ellina Dangol, Salina Neupane, and Mukund Raj Joshi. "Comparison of Quality Of Life Before and After Laparoscopic Cholecystectomy." Journal of KIST Medical College 6, no. 11 (2024): 68–72. http://dx.doi.org/10.61122/jkistmc291.
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Introduction: Laparoscopic cholecystectomy (LC) is a treatment of choice for symptomatic cholelithiasis. LC is one of the most commonly done operations in our country. Patient-reported quality of life is an important outcome measure following all medical and surgical interventions. However, there are only a few papers available addressing quality of life-issues following laparoscopic cholecystectomy. Hence, we conducted a study to compare the quality of life to compare before and after LC. Methods: This is a longitudinal study. Patients who underwent laparoscopic cholecystectomy during the study period were included. Gastrointestinal quality of life (GIQLI) was measured before and six months after laparoscopic cholecystectomy. Result: Seventy-two patients, 11 (15.28 %) males and 61 (84.72 %) females were included in the study. The mean age was 44.97 years and the mean duration of symptoms was found to be 5.20 months. No complications were recorded. There was a statistical increase in the mean total GIQLI before and after LC (111.625 Vs 133, p < 0.0001). Conclusion: There was a significant increase in GIQLI after laparoscopic cholecystectomy in symptomatic patients.
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Leander, P., O. Ekberg, and P. Almqvist. "Radiology in Laparoscopic Cholecystectomy." Acta Radiologica 35, no. 5 (1994): 437–41. http://dx.doi.org/10.1177/028418519403500508.
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Laparoscopic cholecystectomy (LC) is attempted in all our patients scheduled for cholecystectomy. The related standard radiologic procedures are preoperative ultrasonography (US) and peroperative cholangiography (PCA). In a retrospective study of 214 patients scheduled for LC over a 2-year period we have reviewed the radiologic and clinical records. Preoperative US revealed stones in the common bile duct (CBD) in 8 patients, all treated with endoscopic papillotomy before or after operation. PCA was successful in 176 patients (82%) and gave crucial information in 22 patients including 8 with stones in the CBD not preoperatively diagnosed, 6 with anomalous anatomy, and 8 with malpositioned surgical clip on the cystic duct. In 26 patients LC was converted into open surgery, but in only one case due to CBD stone revealed at PCA. Seventeen patients had minor postoperative complications, all managed conservatively. We consider preoperative US and PCA appropriate radiologic investigations in conjunction with LC.
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Slater, M., MI Booth, and TCB Dehn. "Cost-Effective Laparoscopic Cholecystectomy." Annals of The Royal College of Surgeons of England 91, no. 8 (2009): 670–72. http://dx.doi.org/10.1308/003588409x12486167521154.
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INTRODUCTION There is wide variation in costs, both theatre and ward, for the same operation performed in different hospitals. The aim of this study was to compare the true costs for a large number of consecutive laparoscopic cholecystectomy (LC) cases using re-usable equipment with those from an adjacent trust in which the policy was to use disposable LC equipment. PATIENTS AND METHODS Data were collected prospectively between January 2001 and December 2007 inclusive for all consecutive patients undergoing LC by two upper gastrointestinal (UGI) consultants at the Royal Berkshire Hospital. Data were collected for all the instruments used, in particular any additional disposable instruments used at surgeons' preference. Sterilisation costs were calculated for all re-usable instruments. Costs were also obtained from an adjacent NHS trust which adopted a policy of using disposable ports and clip applicators. Disposable equipment such as drapes, insufflation tubing, and camera sheath were not considered as additional costs, since they are common to both trusts and not available in a re-usable form. RESULTS Over 7 years, a total of 1803 LCs were performed consecutively by two UGI consultants at the Royal Berkshire Hospital. The grand total for 1803 LC cases for the re-usable group, including initial purchasing, was £89,844.41 (an average of £49.83 per LC case). The grand total for the disposable group, including sterilisation costs, was £574,706.25 (an average of £318.75 per LC case). Thus the saving for the trust using re-usable trocars, ports and clip applicators was £268.92 per case, £69,265.98 per annum and £484,861.84 over 7 years. CONCLUSIONS This study has demonstrated that considerable savings occur with a policy of minimal use of disposable equipment for LC. Using a disposable set, the instrument costs per procedure is 6.4 times greater than the cost of using re-usable LC sets. It behoves surgeons to be cost-effective and to reduce unnecessary expenditure and wastage. There is no evidence to support use of once-only laparoscopic instruments on grounds of patient safety, ease of use or transmission of infection. If the savings identified in this study of two surgeons' work (savings of £484,861.84 in a 7-year period) was extended not only across the hospital but across the NHS, large savings could be made for laparoscopic cholecystectomy. Even greater savings would accrue if the results were extrapolated to cover all laparoscopic surgery of whatever discipline.
Book chapters on the topic "Laparoscopic Cholecystectomy (LC)"
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Abatayo, Arnel. "Elective Cholecystectomy." In Mastering Endo-Laparoscopic and Thoracoscopic Surgery. Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3755-2_44.
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AbstractCholecystectomy is one of the most commonly performed abdominal surgery to date. In the last few decades, it is increasingly performed laparoscopically, even with third-world countries in Asia. In Mongolia for example, where there are limited resources, they have found a 62% increase in laparoscopic cholecystectomy being performed for 9 years since 2005 [1]. At present, the “gold standard” in gallbladder (GB) surgery is laparoscopic cholecystectomy (LC). This is because of its associated advantages over conventional open technique that includes less postoperative pain, better cosmesis, and shorter hospital stays [2–8]. However, despite the advances in technology, the complications associated with laparoscopic cholecystectomy remain the same. It is therefore necessary for surgeons to be familiar with the basic principles and techniques in performing a safe and efficient procedure. Below is the anatomy of Gallbladder (Fig. 1).
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Gulaydin, Nihat, and Atakan Ozkan. "Laparoscopic Bikini Line Cholecystectomy." In Gallstones - Newer Insights and Current Trends [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.113024.
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Laparoscopic cholecystectomy (LC) approach is accepted as the gold standard in gallbladder surgeries in the world. However, today, cosmetic expectations of patients have led surgeons to define new surgical techniques that do not create visible scar on the abdominal wall. Two common and well-known techniques for this purpose are natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SİLS). These techniques have long-learning curve and difficulty of implementation, so that have not become widespread. Alternatively, the placement of laparoscopic ports in less visible areas of the body such as the bikini line, termed alternative port site selection (APSS), may result in further improved cosmesis. Laparoscopic Bikini Line Cholecystectomy (LBLC) can be classified into two main groups as Full Bikini Line Cholecystectomy (FBLC) and Modified Bikini Line Cholecystectomy (MBLC), depending on inputs of the ports.
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El-Din Mostafa Madany, Mohie. "Laparoscopic Cholecystectomy from the Classic Approach to Recent Updates." In Biliary Tract - Disease, Treatment, and Quality of Life [Working Title]. IntechOpen, 2025. https://doi.org/10.5772/intechopen.1008505.
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The current chapter provides a comprehensive overview of complications, difficult situations, and technical challenges related to laparoscopic cholecystectomy (LC). It revisited the classic approach, reviewing all the steps with the new advancements, and emphasizing the importance of preoperative imaging and intraoperative techniques for reducing complications. The chapter also discusses complex scenarios, including Mirizzi syndrome, cystic duct stones, GB mucocele, and acute cholecystitis, underlining tailored surgical approaches and the role of advanced imaging. It explores critical issues such as perforated GB, short or absent cystic duct, the seatbelt effect of the cystic artery, and strategies for managing frozen Calot’s triangle, intrahepatic GB, cirrhotic liver, and morbid obesity during LC. The necessity of conversion to open surgery and the role of cholecystostomy, subtotal, completion, and repeat cholecystectomy in complex cases are examined. The chapter underscores optimizing patient outcomes through meticulous surgical planning and advanced techniques.
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Sawyer Michael A.J., Lim Robert B., Wong Sean Y.T., Cirangle Paul T., and Birkmire-Peters Deborah. "Telementored Laparoscopic Cholecystectomy: A Pilot Study." In Studies in Health Technology and Informatics. IOS Press, 2000. https://doi.org/10.3233/978-1-60750-914-1-302.
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Few laparoscopic surgical experts exist relative to the number of surgeons needing training in laparoscopic surgical techniques. This study tested application of telemedicine technology in the mentoring of surgeons during laparoscopic cholecystectomy. Our Surgical Telementoring Suite provided real-time audio and video telecommunication to the operating room. Data points for telementored laparoscopic cholecystectomy (TLC, n=6) were compared to age and sex-matched controls having standard laparoscopic cholecystectomy (SLC, n=6) with mentors physically present in the operating room. TLC data were also compared between cases performed with a staff surgeon and resident as mentorees (SRM, n=3), versus two residents as mentorees (RRM, n=3). Data were analyzed with chi-square testing. The level of statistical significance was set at p&lt;0.05. No major operative complications occurred in either group (p&gt;0.05). Total operative times were similar (92.2 &plusmn; 18.4 minutes SLC vs. 94.7 &plusmn; 25.3 minutes TLC, p&gt;0.05). Additional data compared between SRM and RRM groups included time to establishment of a pneumoperitoneum of 12-15 mm Hg (7.0 &plusmn; 6.1 minutes SRM vs. 6.7 &plusmn; 2.9 minutes RRM), time to placement of all four trocars (13.0 &plusmn; 3.6 minutes SRM vs. 10.3 &plusmn; 3.1 minutes RRM, time to isolation and proximal clipping of the cystic duct (38.0 &plusmn; 12.1 minutes SRM vs. 55.7 &plusmn; 29.0 minutes RRM), and time to removal of the gallbladder (77.3 &plusmn; 25.4 minutes vs. 77.7 &plusmn; 27.5 minutes RRM). For all data points, p&gt;0.05. We conclude that telementoring is a safe, effective method for teaching the techniques of LC. This is true for operating teams composed of surgical residents, with or without staff surgeons present.
Conference papers on the topic "Laparoscopic Cholecystectomy (LC)"
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Yang, Chenxi, Li Luo, Qunrong Ren, Shijun Tang, and Renrong Gong. "Using SIMIO for laparoscopic cholecystectomy(LC) surgery simulation." In 2013 10th International Conference on Service Systems and Service Management (ICSSSM). IEEE, 2013. http://dx.doi.org/10.1109/icsssm.2013.6602576.
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Guan, Bo, Zhenxuan Hu, Yuelin Zou, Jianchang Zhao, and Shuxin Wang. "Free-Viewpoint Augmented Reality Navigation for Laparoscopic Surgery Based on Virtual Markers And SLAM." In THE HAMLYN SYMPOSIUM ON MEDICAL ROBOTICS. The Hamlyn Centre, Imperial College London London, UK, 2023. http://dx.doi.org/10.31256/hsmr2023.24.
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Minimally invasive surgery (MIS) has been widely applied in the field of surgery due to its clinical benefits such as low invasiveness and low risk of infection [1]. The surgeon's understanding of the anatomy is a key factor that influences intraoperative complications in MIS [2]. In laparoscopic cholecystectomy (LC), for example, complications due to incomplete exposure of anatomical structures such as the cystic duct and common bile duct account for 92.9% of all LC complications [3]. The key step in LC is to reveal Calot's triangle properly, which is more difficult in cases of heavy inflammation of the gallbladder, encapsulation of surrounding tissues and anatomical variation. This may result in misinterpretation of the anatomy by the surgeon and thus increases the incidence of bile duct injury (BDI) of medical origin [4]. Video see-through augmented reality (VST-AR) navigation [5], a new technology is introduced to address these issues. As a new research hotspot in the field of laparoscopic augmented reality navigation, this technology visualizes the surgical target and key anatomical structures by means of a video transparency overlay to enhance intraoperative perception and improve the safety of the surgery. The core technical issue of VST-AR is the registration, which refers to the matching of a virtual 3D organ model reconstructed preoperatively by CT or MR to the laparoscopic image. The registration is divided into two phases: initial registration and tracking. This study proposes a VST-AR navigation framework based on virtual markers and SLAM. The concept of virtual markers is introduced to achieve rapid non- invasive registration of the virtual scene to the real scene. Based on the patient's body surface features, the proposed navigation framework achieves dynamic tracking of the laparoscope pose and free viewpoint transparency of hidden anatomical structures. In the case of laparoscopic cholecystectomy, for example, the key anatomical structures, such as the gallbladder and the cystic duct, are overlaid onto their corresponding positions in the liver, so as to support the surgeon with the refinement of the operation.
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Martinez-Ortega, A., R. Sánchez-Ocaña, S. Fernandez Prada, L. Juan-Casamayor, C. De La Serna Higuera, and M. Perez-Miranda. "Staged Hepaticogastrostomy (HGS) and Retrograde Cholangioperitoneoscopy (RCPS) to Reconnect a Transected Bile Duct (TBD) after Laparoscopy Cholecystectomy (LC)." In ESGE Days 2023. Georg Thieme Verlag KG, 2023. http://dx.doi.org/10.1055/s-0043-1765040.
Full textReports on the topic "Laparoscopic Cholecystectomy (LC)"
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Wu, Hongsheng, Biling Liao, Tiansheng Cao, Tengfei Ji, and Keqiang Ma. Comparison of The Safety and Efficacy of Early Laparoscopic with Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: A Epoch-making Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.9.0107.
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Review question / Objective: Laparoscopic Cholecystectomy (LC) had recognized as the standard operation for cholecystectomy . With the development of laparoscopic technology day by day, acute cholecystitis, once considered as unsuitable for immediate surgical treatment, today is accepting by surgeons gradually . Base on congestion and edema of gallbladder, severe peripheral inflammatory reaction, and unclear anatomical formation of Calot trangle, intraoperative or postoperative complications may be occurred when performed ELC for acute cholecystitis. However, with the gradual understanding of the causes of the above complications and the gradual improvement of surgical methods, the intraoperative and postoperative complications have significantly reduced .Therefore, for acute cholecystitis, there still have some controversial about ELC and DLC. Condition being studied: Even though several researches had published about the advantage of ELC comparing with DLC, however, the number of research cases was not large and had some conflicting results (.So there still have some controversies about the feasibility and safety between ELC and DLC. Therefore, we designed and analyzed the available literature to evaluate the efficiency, safety, and potential advantages of ELC compared with DLC.
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Li, Zhenqi, Guangfu Zhang, Jia Liu, and Xiaolin Li. Risk factors for gallbladder Cancer:A meta-analysis based on nearly a decade of research. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.4.0065.
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Review question / Objective: Gallbladder cancer is a rare tumor that is mostly advanced once detected. The efficacy of surgical treatment is still controversial. Therefore, primary prevention of gallbladder cancer is important. There are many studies on risk factors for gallbladder cancer, but at present it is difficult to identify independent risk factors for gallbladder cancer, except for a history of symptomatic chronic cholecystitis and malignant transformation of a single polyp. Laparoscopic cholecystectomy is popular worldwide and can be a preventive procedure for gallbladder cancer in addition to resolving benign lesions. This study makes a meta-analysis of the latest research results exploring the risk factors of gallbladder cancer in the last decade , expecting to provide evidence-based medical support for the prevention of gallbladder cancer at the clinical level, and to provide some ideas to guide the surgical indications for LC and future research related to gallbladder cancer. Subject of study: Gallbladder cancer. Study content: Risk factors. Type of study: case-control or cohort study. Extract the value: OR, HR, RR.