scholarly journals The Feasibility of Laparoscopic Cholecystectomy in Patients with Previous Abdominal Surgery

HPB Surgery ◽  
1998 ◽  
Vol 10 (6) ◽  
pp. 353-356 ◽  
Author(s):  
J. Diez ◽  
R. Delbene ◽  
A. Ferreres
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Marlex Mesh ◽  
Previous Surgery ◽  
Open Laparoscopy ◽  
Previous Abdominal Surgery ◽  
Abdominal Organs ◽  
Abdominal Operations ◽  
Elective Laparoscopic Cholecystectomy ◽  
Verres Needle

A retrospective study was carried in 1500 patients submitted to elective laparoscopic cholecystectomy to ascertain its feasibility in patients with previous abdominal surgery. In 411 patients (27.4%) previous infraumbilical intraperitoneal surgery had been performed, and 106 of them (7.06%) had 2 or more operations. Twenty five patients (1.66%) had previous supraumbilical intraperitoneal operations (colonic resection, hydatid liver cysts, gastrectomies, etc.) One of them had been operated 3 times. In this group of 25 patients the first trocar and pneumoperitoneum were performed by open laparoscopy. In 2 patients a Marlex mesh was present from previous surgery for supraumbilical hernias. Previous infraumbilical intraperitoneal surgery did not interfere with laparoscopic cholecystectomy, even in patients with several operations. There was no morbidity from Verres needle or trocars. In the 25 patients with supraumbilical intraperitoneal operations, laparoscopic cholecystectomy was completed in 22. In 3, adhesions prevented the visualization of the gallbladder and these patients were converted to an open procedure. In the 2 patients Marlex mesh prevented laparoscopic cholecystectomy because of adhesions to abdominal organs. We conclude that in most instances previous abdominal operations are no contraindication to laparoscopic cholecystectomy.

Subcostal approach laparoscopic cholecystectomy in patients with previous abdominal surgery

2010 ◽  
Vol 80 (9) ◽  
pp. 670-670 ◽  
Author(s):  
Sae Byeol Choi ◽  
Hyung Joon Han ◽  
Wan Bae Kim ◽  
Tae-Jin Song ◽  
Sang Yong Choi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Previous Abdominal Surgery

The Effects of Previous Abdominal Operations and Intraperitoneal Adhesions on the Outcome of Peritoneal Dialysis Catheters

2010 ◽  
Vol 30 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Amir Keshvari ◽  
Mohammad Sadegh Fazeli ◽  
Alipasha Meysamie ◽  
Sepideh Seifi ◽  
Mohammad Kazem Nouri Taromloo
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Surgery ◽  
Previous History ◽  
Laparoscopic Approach ◽  
Surgical Revision ◽  
Intraperitoneal Adhesions ◽  
Previous Abdominal Surgery ◽  
Increased Risk ◽  
History Of ◽  
Abdominal Operations

BackgroundPatients with previous history of abdominal operations are sometimes excluded from consideration for peritoneal dialysis because of concerns for increased risk of complications during the implantation procedure and inadequate dialysis due to reduced peritoneal surface area. Employing a laparoscopic approach, we compared the outcome of peritoneal dialysis catheters in 2 groups of patients with and without intra-abdominal adhesions.MethodsAll data in this report were recorded prospectively. Revision-free and overall survival of catheters, the incidence of mechanical and infectious complication, and surgical revision rates were compared between the 2 groups.ResultsIn 217 successful catheter implantations, there was a history of previous abdominal surgery in 42.9% of procedures; only 26.9% of them had intraperitoneal adhesions; 2.8% of patients without history of previous abdominal surgery had intraperitoneal adhesions. There were no significant differences between the 2 groups for 1- and 2-year revision-free and overall catheter survival, mechanical dysfunction, infectious complications, or surgical revision rates.ConclusionHistory of previous abdominal surgery should not be used to judge the eligibility of patients for peritoneal dialysis. Laparoscopic placement is the best way to ensure optimal catheter outcomes equivalent to patients without previous abdominal surgery.

The impact of previous abdominal surgery on outcome following laparoscopic cholecystectomy

1995 ◽  
Vol 9 (10) ◽  
pp. 1085-1089 ◽  
Author(s):  
B. D. Schirmer ◽  
J. Dix ◽  
R. E. Schmieg ◽  
M. Aguilar ◽  
S. Urch
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Previous Abdominal Surgery ◽  
The Impact

scholarly journals Laparoscopic cholecystectomy in a patient with situs inversus totalis and previous abdominal surgery

2002 ◽  
Vol 16 (7) ◽  
pp. 1110-1110 ◽  
Author(s):  
A. Polychronidis ◽  
A. Karayiannakis ◽  
S. Botaitis ◽  
S. Perente ◽  
C. Simopoulos
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Previous Abdominal Surgery

Laparoscopic cholecystectomy for patients who have had previous abdominal surgery

1993 ◽  
Vol 7 (5) ◽  
pp. 400-403 ◽  
Author(s):  
K. Miller ◽  
N. H�lbling ◽  
J. Hutter ◽  
W. Junger ◽  
E. Moritz ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Previous Abdominal Surgery

Is Previous Abdominal Surgery a Contraindication to Laparoscopic Cholecystectomy?

1994 ◽  
Vol 4 (1) ◽  
pp. 31-35 ◽  
Author(s):  
SEN-CHANG YU ◽  
SHYR-CHYR CHEN ◽  
SHIH-MING WANG ◽  
TA-CHENG WEI
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Previous Abdominal Surgery

scholarly journals Prediction of difficult cholecystectomy, a study of 100 cases

2018 ◽  
Vol 7 (1) ◽  
pp. 63
Author(s):  
Debananda Tudu ◽  
Bana Bihari Mishra
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Wall Thickness ◽  
Standard Procedure ◽  
Bladder Wall ◽  
Gall Stone ◽  
Medical Science ◽  
Previous Abdominal Surgery ◽  
Difficult Cholecystectomy ◽  
Wbc Count

Background: Cholelithiasis is a common problem in day to day surgical practice, which has a prevalence of 10-15%. The prevalence is more here in this part of the country as this is a pocket of sickle cell disease region. Laparoscopic cholecystectomy is the gold standard procedure for gall stone diseases. Out of many complications one of the most important complications of laparoscopic cholecystectomy is bile duct injury particularly in difficult cases.  Difficulties arise during creation of pneumoperitonium, releasing adhesion, identifying anatomy, anatomical variations and during extraction of gall bladder.Methods: A prospective study was carried out at VSS institute of Medical Science and Research, Burla, Sambalpur, a tertiary referral centre and a teaching hospital in the western Odisha. One hundred patients with symptomatic cholelithiasis were taken up for the study after due clearance from the institutional ethical committee. They were evaluated for risk factors such as-age of the patient, sex of the patient, previous abdominal surgery, number of previous attacks, total WBC count, gall bladder wall thickness and pericholecystic collection on ultrasonography.Results: Previous abdominal surgery, duration since acute attack, number of previous attacks, ultrasonography findings of increased wall thickness, stone impaction at neck and pericholecystic collection, increased total WBC count are associated with difficult laparoscopic cholecystectomy.Conclusions: The predictors for difficult cholecystectomy will make the surgeon extra cautious during the procedure so as to minimize the complications.

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