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| Name | Difficult Lap Cholecystectomy |
| Video Uploader | Video From DR SREEJOY PATNAIK |
| Upload Date | This Video Uploaded At 15-10-2020 08:49:38 |
| Video Discription | In our experience, the advantages of a laparoscopic approach (compared with open intervention) are evident in terms of a shorter postoperative course, less painful symptomatology, and a prompt resumption of normal activities with reintegration into social life, even in the “difficult cholecystectomy” for acute cholecystitis or for gallbladder disease associated with hepatic cirrhosis. In recent experience,9,19 a lower incidence of major and minor postoperative complications (between 31% and 40%) was noted for acute cholecystitis treated with the laparoscopic approach. Laparoscopy has a particularly positive effect on the incidence of respiratory infections, primarily in elderly patients, because of the shorter stay in bed and the minor postoperative pain. Finally, laparoscopic techniques diminished the potential problems of a laparotomy incision (infections, dehiscence, laparocele). Pre- and postoperative medication of the umbilicus with rifamycin can control and reduce local infections to a minimum. Nevertheless, it must not be forgotten that the laparoscopic procedure for “difficult cholecystectomies” is a technically complex treatment and needs a high degree of experience and skill from the surgical team together with appropriate equipment. In conclusion, it is suggested that a laparoscopic approach for difficult cholecystectomies does not increase complications, but that it simplifies the postoperative course by accelerating the resumption of normal activities. |
| Category | People & Blogs |
| Tags | #difficult | #lapchole | #surgery | #health |
