EVALUATION OF FUNDUS FIRST LAPAROSCOPIC CHOLECYSTECTOMY IN CASES OF ACUTE CHOLECYSTITIS: THEODOR BILHARZ RESEARCH INSTITUTE EXPERIENCE

Document Type : Original Article

Authors

Department of General Surgery, Theodor Bilharz Research Institute, P.O Box 30, Imbaba 12411, Giza, Egypt.

Abstract

This study included 125 patients with acute cholecystitis of them 29 were males. All were subjected to fundus-first (FF) laparoscopic cholecystectomy. The mean operative time was 63±8 minutes (range 37-95 minutes). There were 4 cases of prolonged post-operative bile leakage, 3 of them stopped spontaneously within one week, and last one needed an endoscopic biliary stent. Gall bladder perforation with peritoneal contamination occurred in 6 patients. Laparoscopic trans-choledochal CBD exploration was indicated in 3 patients due to residual stone in intra-operative cholangiography. Conversion to open cholecystectomy was acquired in 4 patients the mean hospital stay was 1.6 days (range 6 hours to
5 days) except those with post-operative bile leakage that stayed from 8-14 days. Key words: acute cholecystitis, laparoscopic cholecystectomy,