This research is designed to correlate between intraoperative status of gallstone disease patients with their USG findings. The key question it aims to answer is: Does the ultrasonography predict laparoscopic cholecystectomy will be difficult?Further analysis will aim to reveal: 1. Are there any specific parameters of ultrasonography that immediately concern the operating surgeon? 2. Should surgeons depend on the ultrasonography reports to counsel the patients differently?
Laparoscopic Cholecystectomy is the most common minimally invasive procedure and cholelithiasis is the major indication. It is associated with early recovery and better outcome yet not all patients have smooth recovery. USG is commonly used to diagnose gallstone disease. Not all cholecystectomies are straight forward and some will always face problems. So it is an added benefit if certain factors can predict such unexpected events and make surgeons alert for the same. From this study the investigators attempt to identify such factors in USG by comparing it with intraoperative findings and draw conclusions.
Study Type
OBSERVATIONAL
Enrollment
130
observing the intraoperative findings during laparoscopic cholecystectomy and comparing it with the variable used in patient's USG report.
Nepal Medical College
Kathmandu, Bagmati, Nepal
time taken for surgery
time taken for surgery is divided into 3 stages and filled accordingly
Time frame: immediately noticed during surgeyr
length of hospital stay
patient admission being day 0 and counted till patient's discharge day (usually on 2nd day and upto 7 days)
Time frame: up to 7 days
complications
conversion, bleeding and bile leak
Time frame: during surgery
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