Evaluation of surgical options in difficult gall bladder stone disease.
No Thumbnail Available
Date
1996-04-01
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Mirizzi syndrome (17%), shrunken gall bladder (32%) and frozen Calot's triangle (51%) were encountered in 41 cases of cholelithiasis. Difficult gall bladder stone disease was recognised at operation. Peroperative cholangiogram was done in 70% of the cases, CT scan in 27% cases and percutaneous transhepatic cholangiography (PTC) in 17% cases were done to rule out cancer. Operative procedures included removal of stones and cholecystostomy (5%), partial cholecystectomy (12%), subtotal cholecystectomy (52%), choledochoduodenostomy (22%), choledochoplasty (7%) and cholecystocholedochoduodenostomy (2%). Cholecystectomy (5%) was done in 2nd stage. There was no operative mortality. Postoperative complications included biliary leak (5%), septicaemia (2%) wound dehiscence (5%) and pulmonary infection (2%). It is concluded that subtotal cholecystectomy is an ideal, safe and simple procedure for difficult gall bladder stone disease.
Description
Keywords
Citation
Maudar KK. Evaluation of surgical options in difficult gall bladder stone disease. Journal of the Indian Medical Association. 1996 Apr; 94(4): 138-40