Publication:
Predicting difficulties during laparoscopic cholecystectomy by preoperative ultrasound

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creativeworkseries.issn1812-2027
dc.contributor.authorSK, Sharma
dc.contributor.authorPB, Thapa
dc.contributor.authorA, Pandey
dc.contributor.authorB, Kayastha
dc.contributor.authorS, Poudyal
dc.contributor.authorKR, Uprety
dc.contributor.authorS, Ranjit
dc.date.accessioned2025-07-25T07:24:45Z
dc.date.available2025-07-25T07:24:45Z
dc.date.issued2007
dc.descriptionSharma SK 1 , Thapa PB2, Pandey A 3, Kayastha B3, Poudyal S 4, Uprety KR 4, Ranjit S 41Professor, Department of Surgery, 2Lecturer, Department of Surgery, 3Lecturer, Department of Radio diagnosis, 4Medical Officers, Department of Surgery
dc.description.abstractBackground: The aim of this study was to determine whether the preoperative USG finding can predict the risk of conversion or difficulty during the laparoscopic cholecystectomy. Materials and methods: 200 patients undergoing Laparoscopic cholecystectomy at Kathmandu Medical College Teaching Hospital were included. Sonographic parameters like size of gall bladder, wall thickness, distance between hepaticoduodenal ligament and Hartmann’s pouch and the size of stone were taken into consideration and difficulties in terms of adhesions around gall bladder, anatomy of calot’s triangle and difficulty in peeling off gall bladder from the bed and retrieval were analyzed. Result: In 8 of 200 patients (4%), LC was converted to open procedure. In univariate analysis all the sonographic parameters we had included in this study were statically significant (p value <0.05). Conclusion: Preoperative sonographic signs can predict the difficulty in laparoscopic cholecystectomy
dc.identifier.urihttps://hdl.handle.net/20.500.14572/683
dc.language.isoen_US
dc.publisherKathmandu University
dc.titlePredicting difficulties during laparoscopic cholecystectomy by preoperative ultrasound
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage11
oaire.citation.startPage8
relation.isJournalIssueOfPublication29da76ed-1abb-4eb3-bc17-4e0a553f4168
relation.isJournalIssueOfPublication.latestForDiscovery29da76ed-1abb-4eb3-bc17-4e0a553f4168
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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