Laparoscopic Cholecystectomy

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Open Vs Laparoscopic cholecystectomy

Aravind Endamu

OPEN CHOLECYSTECTOMY- OPERATIVE SURGERY #surgicaleducator #operativesurgery #opencholecystectomy #usmle #babysurgeon #surgicaltutor Dear viewers, • Greetings from “Surgical Educator” • Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries. • I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy and Modified Radical Mastectomy. • In this video today, I have discussed Open Cholecystectomy. • However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery. • Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful. • This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links: • surgicaleducator.blogspot.com • youtube.com/c/surgicaleducator • Thank you for watching the videos.

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It has not changed the nature of disease The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound. We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future. 3D cameras have come into existence and various newer technologies are being invented.

FUTURE OF LAPAROSCOPY

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Open Vs Laparoscopic cholecystectomy

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1. Open Cholecystectomy v/s Laparoscopic cholecystectomy - Gallbladder Stone Surgery 2. Introduction - Gallstones are a common occurrence in northern India. However, this trend is now showing pa 3. n India presence probably because of migration and blending of cultures and lifestyle. As many as 16% and 29% of women above the age of 40-49 years and 50-59 years, respectively, had gall stones. For every patient with symptomatic gallstone disease there are many more with asymptomatic gallstones. Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallbladder stone and inflammation of the gallbladder. 4. Open Cholecystectomy - Cholecystectomy is one of the most commonly performed abdominal surgical procedures. The laparoscopic approach is preferred due to documented physiologic, economic, and cosmetic benefits compared with the open approach. However, when laparoscopic cholecystectomy is not possible or cannot be completed safely, open cholecystectomy is indicated. Open cholecystectomy may also be performed as an integral part of another operation (eg, pancreaticoduodenectomy) or incidentally, if indicated, during another gastrointestinal operation (eg, colon resection). 5. Laparoscopic cholecystectomy - Cholecystectomy is one of the most commonly performed abdominal surgical procedures, and in developed countries many are performed laparoscopically. As an example, 90 percent of cholecystectomies in the United States are performed laparoscopically. Laparoscopic cholecystectomy is considered the "gold standard" for the surgical treatment of gallstone disease. This procedure results in less postoperative pain, better cosmetics, and shorter hospital stays and disability from work than open cholecystectomy [2-8]. However, the overall serious complication rate in laparoscopic cholecystectomy remains higher than that seen in open cholecystectomy. 6. Risks & Complications - The risk of complications is very low, however, potential risks might include: - Bleeding, Infection, Common bile duct injury, Minor shoulder pain (from the carbon dioxide gas), Bile leakage. 7. Benefits: - Less discomfort than regular surgery, Shorter hospital stay, with a quicker recovery time compared to regular (open) surgery, Smaller scars than regular surgery. 8. Consult us for Gallbladder Stone Treatment - For Appointment Call 079-29703438 Or Visit :- www.drchiragthakkar.com

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Comments: Excellent paper. It’s obvious that you put quite a bit of work into this. Unfortunately, your paper needs adequate citations in the body of the text to meet our standards on plagiarism. You need to cite each textbook from your bibliography whenever you quote or use some information from the textbook or other resource. For example, writing (Jones 285) after the quote or information used means that you got it from the book whose author was Jones and the info came from page 285. Laparoscopic cholecystectomy is a procedure in which laparoscopic techniques remove the gallbladder. It is the standard of care for symptomatic gallbladder disease, of which most are performed for symptomatic cholelithiasis. Other indications include acute cholecystitis, biliary dyskinesia, and gallstone pancreatitis. Describe the reasons a patient might have the selected surgical procedure The typical reason a cholecystectomy is a treatment of choice is inflammatory changes of gallbladder or blockage of bile flow by gallstones. Symptomatic cholelithiasis is the most common reason where gallstones in the gallbladder are blocking the bile flow and cause inflammation. The patient usually complains of episodic epigastric pain and right upper quadrant pain that radiates to the right shoulder. This pain is found to occur several hours after heavy meals and the patient experiences nausea, vomiting, bloating, fever, and right upper quadrant tenderness. Another condition is acute cholecystitis, where inflammation and symptoms are more prominent. The patient may have a fever, constant pain, positive Murphy's sign, or leukocytosis. Acute cholecystitis may be caused by calculous biliary tract disease with confirmed gallstones in the abdominal US. Acute acalculous cholecystitis usually occurs in critically ill patients, those with prolonged total parenteral nutrition, and some immunosuppressed patients. Patients with episodes of right upper quadrant pain (which are ‘classic' for biliary pain without evidence of cholelithiasis of US or ERCP) may also be referred for laparoscopic cholecystectomy. Gallstone pancreatitis (when small stones pass through the cystic duct) confirmed by cholangiography is another indication for laparoscopic cholecystectomy. Describe the reasons a patient might be disqualified for this surgery and the options for the patient if any A patient might be excluded for laparoscopic cholecystectomy due to acute general conditions that are a contraindication for any surgery such as an acute cardiac failure, uncontrolled hypertension, acute renal failure, pneumonia, etc. The condition should be treated by a primary care provider or specialist and the patient should be stable prior surgery. Additional contraindications may include the inability to tolerate general anesthesia, significant portal hypertension, uncorrectable coagulopathy, and multiple prior operations. List the diagnostic tests and lab work that an attending surgeon might order and desc.

Comments Excellent paper. It’s obvious that you put quite a bit of .docx

drandy1

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