ABSTRACT _AIM:_ to evaluate safety and efficacy of harmonic scalpel in closure/division of the cystic duct and artery, and bladder dissection in laparoscopic cholecystectomy as a single working instrument, with the use of two working trocars technique, compared with regular laparoscopic clip/cautery, three trocars technique. _METHOD: _A prospective study included 160 patients with symptomatic gall stone disease were randomly assigned ... إقراء المزيد

_ABSTRACT_ Purpose: A prospective work to study and evaluate surgical and endoscopic techniques used in management of post cholecystectomy problems. Patients & Methods: In the period from Mars 2000 to October 2010, a random sample of 630 patients (366 females and 264 males) were enrolled from general surgery department, and gastro-intestinal endoscopy unit, Assuit University hospitals, and managed accordingly using ... إقراء المزيد

ABSTRACT: Surgical trauma elicits a characteristic response involving synthesis and release of acute phase proteins as interleukin-6 (IL-6) and C-reactive protein (CRP). The magnitude of trauma is directly proportionate to the concentration of these mediators. Laparoscopic cholecystectomy is now considered the gold standard for treatment of cholecystolithiasis. We aimed at comparing the magnitude of trauma elicited by laparoscopic versus open ... إقراء المزيد

BACKGROUND: Laparoscopic cholecystectomy (LC) has become the treatment of choice for elective cholecystectomy, but controversy persists over use of this approach in the treatment of acute calculous cholecystitis. AIM OF THE STUDY: To assess the feasibility, safety, and outcome of laparoscopy in management of patients with acute calculous cholecystitis and to determine whether it is a boon or bust in ... إقراء المزيد