No abstract available.
Cholecystectomy, Laparoscopic*

No abstract available.
Cholecystectomy, Laparoscopic*

No abstract available.
Cholecystectomy, Laparoscopic*

No abstract available.
Cholecystectomy, Laparoscopic*

No abstract available.
Cholecystectomy, Laparoscopic*

No abstract available.
Cholecystectomy, Laparoscopic*

BACKGROUND: Laparoscopic cholecystectomy, although is less invasive than open surgery, is not completely pain free. The use of local anaesthesia to relieve pain following this procedure is a common practice. However, it remains debatable whether a pre- or post-operative drug administration is more effective. Here, we investigated the role of preemptive local anaesthetic infiltration given pre- or post-incisional, in relieving the pain during laparoscopic surgery. METHODOLOGY: A randomized controlled trial was conducted with 96 patients receiving 0.5% Bupivacaine 100mg. Group A (n=48) received post-incisional skin infiltration whilst Group B (n=48) received pre-incisional infiltration. Incisional (somatic) and intra-abdominal (visceral) pain was assessed using Visual Analog Scale (VAS) at day 0, day 1 and day 7 post-operative days. RESULT: Baseline characteristics between the two groups were similar. Incisional pain was lower in Group B as compared to Group A at day 0 (P=0.03) and day 1 (P<0.01). Intra-abdominal pain was also lower in Group B at day 0 and day 1 (P= 0.04). VAS score was similar at day 7 although analgesia requirement is higher in Group A (P>0.05). CONCLUSION: Administration of pre-incisional local anaesthesia offers better pre-emptive pain relief measure than postincisional administration by reducing somatic and visceral pain in laparoscopic gall bladder surgery.
Cholecystectomy, Laparoscopic

No abstract available.
Child* ; Cholecystectomy, Laparoscopic* ; Humans

A retrospective study was conducted on 118 patients (45 males and 73 females, mean age of 56.6) had their laparoscopic holecystectomy removed at the General Viet Tiep Hospital from Jan 2002-Dec 2004. The results as followed: cholelithiasis accounted for 96.6%, in which 76.3% were single cholelithiasis with symptoms; acute stone cholecystitis 17.8% and atrophic cholecystitis 2.5%. The rate of general complication in surgery was 20.3%, except for three open surgery cases; most of cases with complications was treated during surgery. The average time of surgery was 46.8 minutes, the average hospitalization time after surgery was 4.8 days. The rate of complication was 5.2% and there is no deaths. The laparoscopic cholecystectomy has more advantages than classical open cholecystectomy: safety, short of surgery time, quick recovery, less complications, and good aestheticism. Because of these advantages, the surgery can replace for the classical surgery, it is an ideal method in treating cholelithiasis, grall-bladder polyp, acute or chronic cholelithiasis.
Cholecystectomy, Laparoscopic ; Surgery ; Cholelithiasis

The laparoscopic surgery including laparoscopic diagnosis, laparoscopic surgery, abdominal laparoscopy and cervical laparoscopy. The Institute implemented 6058 operations comprising gynecological and obstetrical surgery in which there were 1003 patients receiving the laparoscopic surgery (16,56%) in 2000. The rate of the laparoscopic surgery / gynecological surgery was 1003/2791 = 35,94%. The common indication of endoscopy were infertility (41,48%), ectopic pregnancy (29,21%) cystic ovary (11,37%). 20 patients with the ectopic pregnancy changed from laparoscopic surgery to the traditional surgery. 2 cases in the abdominal endoscopy suffered complication. There was no complication in 82 cases of the cervical endoscopy. That indicated that the endoscopy is the safe surgery with the low complication
Cholecystectomy, Laparoscopic ; Laparoscopy ; surgery