SINGLE INCISION LAPAROSCOPIC SURGERY IN CHOLECYSTECTOMY: CURRENT TRENDS AND CHALLENGES
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Abstract
Introduction: Laparoscopic cholecystectomy is the best quality level in the treatment of symptomatic cholecystolithiasis. In the predominant majority, cholecystectomy is a straightforward method and the classic model of laparoscopic surgery with low dismalness, short hospitalization, and speedy reconvalescence.
Objectives: The main objective of the study is to find the single incision laparoscopic surgery in cholecystectomy and its current trends and challenges.
Methodology of the study: This retrospective study analysis was conducted at Ayub teaching hospital Abbottabad from January 2022 to December 2023. Data were collected from 210 patients who underwent laparoscopic surgeryin cholecystectomy. Data collection involved retrieving comprehensive information on patient demographic, preoperative assessment and postoperative outcomes. Demographic data such as age, gender, and comorbidities were recorded. Preoperative evaluations, including imaging studies, ultrasound, magnetic resonance cholangiopancreatography, liver function tests, bilirubin levels and indications for surgery were documented.
Results: Data were collected from 210 patients. Mean age pf the patients were 45.21±9.87 years. There were 140 female and 70 male patients. Hypertension was the most common comorbidity which was 50 (23.8%), DM 25 (11.9%) and obesity 35 (16.7%).The results indicate that laparoscopic cholecystectomy was predominantly performed for symptomatic gallstone disease, accounting for 85.7% of cases, with acute cholecystitis comprising 14.3% of indications. Ultrasound was universally utilized for preoperative imaging, while magnetic resonance cholangiopancreatography (MRCP) was employed in 23.8% of cases, suggesting its selective use for assessing biliary anatomy.
Conclusion: It is concluded that laparoscopic cholecystectomy remains a safe and effective treatment option for symptomatic gallstone disease, offering favorable outcomes in terms of operative efficiency and postoperative recovery
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Nadir Farid
MBBS, FCPS General Surgery, Fellowship, Liver Transplant and Hepatobiliary Surgery, Pakistan Kidney and Liver Transplant Lahore
Khurram Shehzad
Resident Surgeon, Department of Surgery, DHQ Hospital KDA Kohat
Muhammad Hassaan Amjad
Medical Officer, Department of Neurosurgery, Hameed Latif Hospital Lahore, ORICID Num: 0000-0001-7129-9028
Imtiaz Ali Langah
Assistant professor, Department of General Surgery, People’s University of Medical and Health Sciences, Nawabshah
Nasir Bakhtiar
Assistant Professor, Department of General Surgery, Prime Teaching Hospital, Peshawar
Ahmad Arsalan Tahir
Assistant Professor, Department of General Surgery, Kuwait Teaching Hospital, Peshawar
Muhammad Rashid Waheed
Registrar, Department of General Surgery, Khyber Teaching Hospital, Peshawar