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American Journal of Biological and Pharmaceutical Research

Volume 11, Issue 1, 2024
Mcmed International
American Journal of Biological and Pharmaceutical Research
Issn
2348 - 2176 (Print), 2348 - 2184 (Online)
Frequency
bi-annual
Email
editorajbpr@mcmed.us
Journal Home page
http://mcmed.us/journal/ajbpr
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Abstract
Title
COMPARISON BETWEEN BILIARY STRICTURE AFTER LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY
Author
Susnata De and Soumen Das*
Email
soumendoc.das@gmail.com
keyword
Biliary stricture, Laparoscopic cholecystectomy, Open cholecystectomy.
Abstract
This is a retrospective study comparing benign biliary stricture after laparoscopic and open cholecystectomy. Patients with post cholecystectomy biliary stricture admitted in the Department of General Surgery in S.S.K.M. Hospital & i.P.G.M.E.R a Tertiary Referral Hospital between October 2009 to November 2011 were included in this study. The risk factors, etiology, associated factors, type of stricture, outcome and preventive approach were the parameters 'studied. The above parameters were then compared with the data worldwide. Thirty cases of benign biliary stricture following cholecystectomy, of which 19 () had sericture after laparoscopic cholecystectomy and 11 () after open. 8() had stricture after cholecystectomy done for acute cholelithiasis of which 5 had laparoscopic and 3 had open cholecystectomy. Biliary stricture was associated with Biloma in 10 cases and fistula in 12 cases. There were 10 cases of Bismuth type 1 stricture followed by 10 cases of type 2, 7 case of type 3 and 3 case of type 4 biliary stricture. Biliary strictures following laparoscopic cholecystectomy are of a much higher grade than occurring after open cholecystectomy. Biliary strictures after laparoscopy are also associated with more incidence of associated injury like biloma and fistula. Prevention of biliary stricture is by simply sticking to the common principles of cholecystectomy.
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