[The importance of pre-operative ultrasonography in assessing the technical difficulty and potential complications of laparoscopic cholecystectomy].
In this work thirty patients with symphtomatic not complicated gallbladder disease were studied by ultrasound (US) and by oral-cholecystography, to value the correlation between the results and the surgical judgement of laparoscopic cholecystectomy (LC) difficulty level (by Visual Analogue Scale). Wall thickening and diminished gallbladder function were significantly (P < 0.001) associated with increased technical difficulty of LC. Moreover the US evaluation of Veress's needle insertion seat is helpful. There was no significantly association between LC operative difficulty and volume and other US parameters (P > 0.05). Basing on results and on literature review, US and oral-cholecystography can be considered as predictors of LC operative difficulties and it can be used as a screening.
Matranga
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Dipartimento di Discipline Chirurgiche ed Anatomiche Cattedra di Chirurgia Generale, Università degli Studi di Palermo.
Sciumè
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Leo
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D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011237:Predictive Value of Tests; D011300:Preoperative Care / Q000379:methods*; D012307:Risk Factors; D014463:Ultrasonography