Abstract
Background:
Laparoscopic cholecystectomy has become the treatment of choice for symptomatic gallstones. Previous abdominal surgery has been reported as an absolute contraindication to laparoscopic cholecystectomy in early days of this technique but nowadays it considered as a relative contraindication. This study specifically investigate the effect of previous abdominal surgery on the feasibility and safety of laparoscopic cholecystectomy.
Methods:
This study included 120 well-documented patients with gallstones who underwent laparoscopic cholecystctomy at our surgical department between December 2008 and October 2012. The patients were classified into 2 groups: group A, patients without a history of previous abdominal surgery (n_90);
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Laparoscopic cholecystectomy allows earlier oral intake, shortens hospital stay, enhances earlier return to normal activity , minimal postoperative pain, and improves cosmesis over open cholecystectomy.
Thus, Laparoscopic cholecystectomy has continued to gain widespread clinical approval, and it is now the standard procedure for benign diseases of the gallbladder; However, there is still a substantial percent of patients in whom Laparoscopic cholecystectomy cannot be successfully done and for whom conversion to open surgery is required. A previous abdominal surgery has been reported as a relative contraindication to Laparoscopic cholecystectomy. [1] [2]Previous abdominal surgery particularly is associated with difficult insertion of the initial trocar and obtaining adequate exposure to the gallbladder. The potential risk for injury of organs adherent to the abdominal wall during
Veress needle or trocar insertion as well as the necessity for adhesiolysis and its attendant complications are the two major specific problems limiting surgeons from acting laparoscopic cholecystectomy for patients with previous abdominal