Laparoscopic Cholecystectomy in Patients with Empyema of Gall Bladder | ||
| Kirkuk Journal of Medical Sciences | ||
| Article 1, Volume 8, Issue 1, December 2020, Pages 1-10 PDF (1.33 M) | ||
| DOI: 10.32894/kjms.2020.169344 | ||
| Author | ||
| Alan Adnan Sabir | ||
| Department of Surgery, College of Medicine, Kirkuk University | ||
| Abstract | ||
| Empyema of gallbladder is a potential fatal complication of gallstone. It is characterized by suppuration superimposed on acute cholecystitis. It is considered as a common factor of difficult laparoscopic cholecystectomy. Aim of the study: to determine the safety and feasibility of laparoscopic cholecystectomy in patients with empyema of gallbladder. Patient and method:A prospective study of 800 patients suffering from gallstone diseases from 2011 to December 2014 in Azadi teaching hospital in Kirkuk-Iraq. The procedure was performed by standard three – ports technique with a few modifications made to facilitate dissection subjected to situation. Results: 800 patients with male to female ratio 1:5.25 undergone laparoscopic cholecystectomy. Among these, 50 patients (6.25%) were identified having empyema of gallbladder and were included in the study population. Laparoscopic cholecystectomy was successfully completed for 49 (98%) patients while only one (2%) patient was converted to open cholecystectomy due to uncontrolled bleeding. Conclusion: In well-trained and skillful hands of an expert, laparoscopic cholecystectomy surgery is a safe and acceptable option for patients with empyema of gallbladder. | ||
| Keywords | ||
| Empyema gallbladder; Laparoscopic cholecystectomy; safety | ||
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