DOI: http://dx.doi.org/10.18203/2349-2902.isj20204139

Comparative study of single versus multiple gallstone disease in KGH, Visakhapatnam

C. Dharma Kishore Raja, Dondapati Keerthi, Adikari Sai Kiran, Gunto Aravind, Sreerama Raja, G. Manoj Karthik, Devarakonda Sreenija, Nelapati Kiran Kumar

Abstract


Objective: To evaluate the differences in the presentation, their operative implications and difficulties of single stone versus multiple gall stone disease.

Methods: This is a prospective study of a minimum of 60 patients with gall stone disease (Group 1-single, Group 2-multiple) from January 2019 to December 2019 in KGH, Visakhapatnam.

Results: More common in females, 40-50 years symptoms and complications, TC count difficult cholecystectomies were more in multiple gall stone pts.

Conclusion: Multiple gall stones have led to more severe symptoms and complications and difficult surgery. should be motivated for early surgery even in incidental finding and should not opt for conservative management.


Keywords


Single versus multiple gallstones, Laparoscopic, Open cholecystectomy

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References


Laparoendosc J, Verma GR, Bose SM, Wig JD. Pericholecystic adhesions in single v multiple gallstones and their consequences for laparoscopic cholecystectomy. Adv Surg Tech A. 2001;11(5):275-9.

Mofti AB, Al-Momen AH, Suleiman SI, Ismail SA, Jain GC, Hussein NM et al. The single gall bladder stone- is it innocent? Ann Saudi Med. 1994;14(6):471-3.

Kanaan SA, Murayama KM, Merriam LT, Dawes LG, Prystowsky JB, Rege RV, Joehl RJ. Risk factors for conversion of laparoscopic to open cholecystectomy. J Surg Res. 2002;106(1):20-4.

Zhang WJ, Li JM, Wu GZ, Luo KL, Dong ZT. Risk factors affecting conversion in patients undergoing laparoscopic cholecystectomy. ANZ J Surg. 2008;78(11):973-6.

Gabriel R, Kumar S, Shrestha A. Evaluation of predictive factors for conversion of laparoscopic cholecystectomy, Kathmandu Univ Med J (KUMJ). 2009;7(25):26-30.

Schirmer BD, Winters KL, EdlichRF. Cholelithiasis and cholecystitis. J Long Term Eff Med Implants. 2005;15(3):329-38.

Isoda N, Ido K, Kawamoto C, Suzuki T, Nagamine N, Ono K et al. Laparoscopic cholecystectomy in gallstone patients with acute cholecystitis. J Gastroenterol. 1999;34(3):372-5.

Jayanthi V, Surendran R, Prasanthi R, Prithiviraj CA, Srinivasan V. Surgical practice in symptomatic and asymptomatic gallstone disease. Indian J Gastroenterol. 2002;21(4):142-4.

Lal P, PN Agarwal, Malik VK, and AL Chakravarti. A Difficult Laparoscopic Cholecystectomy That Requires Conversion to Open Procedure Can Be Predicted by Preoperative Ultrasonography. JSLS. 2002;6(1):59-63.

Lipman JM, Claridge JA, Haridas M, Yao DC, Grimes KL, Malangoni MA. Preoperative findings predict conversion from laparoscopic to open cholecystectomy. Surgery. 2007;142(4):556-63.

Tuker L, Tangedah TN. Manifestations of gallstone disease. Postgrad Med. 1979;6:179-84.

Csendes A. found that patients with gallbladder carcinoma had significantly larger stones, regardless of the number of stones present (P <0.001)

Isoda N, Ido K, Kawamoto C, Suzuki T, Nagamine N, Ono K, Sato Y, Kaneko Y, Kumagai M, Kimura K, Sugano K.