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This study will evaluate single incision laparoscopic cholecystectomy with cholangiography for patients with calcular cholecystitis. A prospective randomized clinical trial will be conducted at Zagazig University Hospitals in Egypt, enrolling a simple randomized sample of approximately 100 patients undergoing the procedure. Laboratory tests, ultrasound, and other imaging will be used to collect data and ensure patients meet inclusion criteria for the study.
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n (%)
Results
Patient demographics and indications
Table 1 Patient demographics and indications
Surgeon 2
75 min (35–120 min)
85 min (45–180 min)
Junior resident
30 (50)
Fellow
30 (50)
due to severe inflammation (n = 2), inability to retract the
gallbladder (n = 2), and bleeding from the cystic artery
(n = 1). No patient required conversion to open cholecystectomy.
Intraoperative cholangiography and bile duct
exploration
Age (years): mean (range)
47 (18–80)
Gender: n
Lista webs restos guerra civil
Este documento proporciona una lista de 54 sitios web relacionados con restos materiales de la guerra civil española. La mayoría de los sitios cubren áreas geográficas específicas de España y contienen información sobre fortificaciones, trincheras y otros vestigios de la guerra civil. Algunos sitios son asociaciones dedicadas a la preservación del patrimonio histórico de este período, mientras que otros son blogs, foros o páginas de museos relacionados. La lista proporciona un resumen de cada sitio
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This thesis submitted by Sameh Mohamed Naguib Ahmed to Zagazig University's Faculty of Medicine examines single-incision laparoscopic cholecystectomy with intraoperative cholangiography. The thesis is submitted under the supervision of Prof. Tarek Ezzat Abdellatif, Prof. Emad Mohammed Salah, and Dr. Wael Mahmoud Awad to fulfill the requirements for a Master's degree in General Surgery from Zagazig University's Faculty of Medicine.
dozarkiv_dev204x_cert
This certificate verifies that Dmytro Ozarkiv successfully completed and received a passing grade in the DEV204x: Programming with C# course offered by Microsoft through edX. The certificate is signed by Satya Nadella, CEO of Microsoft Corporation, and Björn Rettig, Senior Director of Technical Content at Microsoft Corporation, and includes a link to verify its authenticity.
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This systematic review analyzed 49 studies including over 2,300 patients undergoing single-incision laparoscopic cholecystectomy (SILC) or standard laparoscopic cholecystectomy (SLC). The review found that complication rates for SILC ranged from 0-28.6% with an overall median of 7.37%, which may be underestimated due to lack of follow-up in many studies. Studies reported similar or worse pain outcomes for SILC compared to SLC in most cases. Three studies found significantly improved cosmetic outcomes with SILC while others found no significant difference. No definitive evidence suggests that SILC provides improved cosmesis or reduced pain over SLC, and complications may
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This document reviews 10 randomized controlled trials comparing single port laparoscopic cholecystectomy to conventional laparoscopic cholecystectomy. It finds that single port laparoscopic cholecystectomy has a longer operating time but provides an equivocal benefit in terms of postoperative pain. It offers an improved cosmetic outcome but is associated with a low risk of bile duct injuries or the need for conversion to conventional laparoscopic cholecystectomy. The review concludes that single port laparoscopic cholecystectomy is as safe as conventional laparoscopic cholecystectomy in carefully selected patients.
References
This document provides 12 references for articles on single-incision laparoscopic cholecystectomy. The references cover initial experiences with the critical view of safety dissection and routine intraoperative cholangiography, a comparison of single-incision versus conventional laparoscopic cholecystectomy, techniques for performing single-incision laparoscopic cholecystectomy, complications of the procedure, and the use of routine intraoperative cholangiography during single-incision laparoscopic cholecystectomy.
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Operational design
The document outlines a study plan to evaluate the benefits of single incision laparoscopic cholecystectomy with intraoperative cholangiography over an 8 month period. Informed consent will be obtained from patients. Evaluation will include assessing benefits and any difficulties will be addressed, such as following up with patients after discharge or assessing cosmetic results. The timeline includes 8 months of practice, 1 month for statistics, and 1 month for discussion.
Administrative design
The document outlines a study to analyze the benefits of single incision laparoscopic cholecystectomy with cholangiography. It will obtain ethical approval, use SPSS to analyze data, statistically assess results to detect benefits, and is expected to find advantages like less invasiveness, pain, and recovery time along with improved cosmetics and satisfaction. It recommends using the new single incision technique if requirements are available and that experienced laparoscopic surgeons tend to perform more such operations.
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Laparoscopic cholecystectomy has been the standard procedure for gallbladder removal since the 1990s. Recently, single incision laparoscopic cholecystectomy (SILC) has been developed to further reduce invasiveness. While technically challenging, SILC offers benefits like less pain, faster recovery, and better cosmetic outcomes compared to standard laparoscopic cholecystectomy. The document presents a study protocol to evaluate the benefits of SILC with intraoperative cholangiography, including safety, reduced invasiveness, and ability to manage unexpected bile duct issues. The prospective randomized study will compare outcomes of SILC with cholangiography to standard techniques in 100 patients. Results will help determine if S
Art 3 a10.1007-2fs11605-012-2123-z
This study reviewed 196 patients who underwent single-incision laparoscopic cholecystectomy (SILC) with routine intraoperative cholangiography (IOC) at a single institution. IOC was successful in 178 patients (90.8%) and detected abnormalities in 21 patients (10.7%), including common bile duct stones in 16 patients. IOC helped accurately identify biliary anatomy and avoided potential bile duct injury in one case. The authors conclude that routine IOC during SILC is feasible and useful for detecting bile duct stones and gaining an accurate picture of biliary anatomy.
V10p0073
This study evaluated the experiences and outcomes of 150 patients who underwent single incision laparoscopic cholecystectomy (SILC) between 2009-2011. Two different techniques were used for the single incision procedure. The median operative time was 29 minutes. Patients were discharged after a median hospital stay of 1.33 days. Five patients developed superficial wound infections. Port site hernias developed in 5 patients within 6 months of surgery. No other major complications occurred. The study concluded that SILC is a safe procedure that can be performed successfully with conventional laparoscopic instruments and may provide advantages of reduced postoperative pain and improved cosmetic outcomes compared to traditional laparoscopic cholecystectomy.
Subjects and methods
This study will evaluate single incision laparoscopic cholecystectomy with cholangiography for patients with calcular cholecystitis. A prospective randomized clinical trial will be conducted at Zagazig University Hospitals in Egypt, enrolling a simple randomized sample of approximately 100 patients undergoing the procedure. Laboratory tests, ultrasound, and other imaging will be used to collect data and ensure patients meet inclusion criteria for the study.
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Subjects and methods
- 1. SUBJECTS AND METHODS : 1- TECHNICAL DESIGN : Study design: * A prospective simple randomized clinical trials will be used in carrying out the study. Study setting: * This study will be conducted in Zagazig University Hospitals, as it is one of the major curative facilities in Sharkia Governorate with high patients rate. Population or subjects: * Patients with calcular cholecystitis in General Surgery Department. Data collection tools: * Laboratory investigations, Ultrasound or (ERCP and MRCP when indicated) Inclusion and exclusion criteria: *Any patient doing single incision laparoscopic cholecystectomy with cholangiography during the study period. Sampling: * Sample size will be patients . * Sample selection: simple randomized sample.