Print ISSN: 2790-0207

Online ISSN: 2790-0215

Keywords : Laparoscopic cholecystectomy

Laparoscopic Cholecystectomy in Patients with Empyema of Gall Bladder

Alan Adnan Sabir

Kirkuk Journal of Medical Sciences, 2020, Volume 8, Issue 1, Pages 1-10

Empyema of gallbladder is a potential fatal complication of gallstone. It is characterized by suppuration superimposed on acute cholecystitis. It is considered as a common factor of difficult laparoscopic cholecystectomy.
Aim of the study: to determine the safety and feasibility of laparoscopic cholecystectomy in patients with empyema of gallbladder.
Patient and method:A prospective study of 800 patients suffering from gallstone diseases from 2011 to December 2014 in Azadi teaching hospital in Kirkuk-Iraq. The procedure was performed by standard three – ports technique with a few modifications made to facilitate dissection subjected to situation.
Results: 800 patients with male to female ratio 1:5.25 undergone laparoscopic cholecystectomy. Among these, 50 patients (6.25%) were identified having empyema of gallbladder and were included in the study population. Laparoscopic cholecystectomy was successfully completed for 49 (98%) patients while only one (2%) patient was converted to open cholecystectomy due to uncontrolled bleeding.
Conclusion: In well-trained and skillful hands of an expert, laparoscopic cholecystectomy surgery is a safe and acceptable option for patients with empyema of gallbladder.

The Incidence of Biliary Leak in Laparoscopic Cholecystectomy at Azadi Teaching Hospital in Kirkuk

Alan Adnan Sabir

Kirkuk Journal of Medical Sciences, 2019, Volume 7, Issue 1, Pages 127-137

Background: Laparoscopic cholecystectomy has now replaced open cholecystectomy for the treatment of gallbladder diseases. However, laparoscopic cholecystectomy may cause various complications an important one of them is biliary injury. Laparoscopic cholecystectomy has been practiced for close to 25 years. The rate of common duct injury remains somewhere between 0.4 to 0.7 percent and is approximately the same around the world. Recent papers have stressed in which ways laparoscopic common duct injury can be avoided but none of the methods mentioned is foolproof. In addition, this complication can occur to even the most experienced laparoscopic surgeon. This injury to be emphasized by the surgical community as an inherent risk of the operation, and patients should be fully informed of this potential complication. Aim: Of this study is to assess the outcome of laparoscopic cholecystectomy (LC) by determining the incidence of biliary leak and avoid it. Settings: Surgical wards of Azadi Teaching Hospital Kirkuk between 2013- 2015. Patients and Method: This is a prospective study of 204 patients. We evaluated the data according to outcome measures, such as bile duct injury, morbidity, mortality. Result: During this period, 204 patients underwent LC, of whom two patients (1%) have minor bile duct injuries. Conclusion: Biliary tract injury is a major complication of LC. Anatomical anomalies, local pathology, and poor surgical techniques are the main responsible factors.