ABSTRACT
Objective: To determine the frequency of incidental gall bladder carcinoma in patients of a tertiary care hospital undergoing cholecystectomy
Methodology: This descriptive case series was carried out at Department of General Surgery, Pakistan Institute of Medical Sciences [PIMS] Islamabad from 1st January, 2012 to 30th June, 2014. The histopathology reports of 1003 patients undergoing cholecystectomy [either by laparoscopic or open] were reviewed retrospectively and 940 patients fulfilling our criteria were included
Results: Gall bladder adenocarcinoma was detected in only two patients [0.21%] undergoing cholecystectomy. Male to Female ratio was 1:1 and the mean age was 68.5 years for incidental carcinoma patients. One patient had a pre-malignant porcelain gall bladder while the rest of 937 histopathology results were benign
Conclusion: In this single institute study, the frequency of incidental gall bladder carcinoma was found to be 0.21 % and that too in elderly patients
ABSTRACT
Objective: To observe the rate of complications during elective laparoscopic cholecystectomies. Design and study duration: It was a prospective study and was carried out from July 2011 to June 2012. Setting: The study was conducted at PAF Hospital Islamabad. Patients: 105 patients with gall stone disease who underwent elective laparoscopic cholecystectomy
Material and Methods: 105 patients ranging in age from 23 yrs to 81yrs were operated. 12 were males and 93 were females. History, clinical examination and ultrasonography were used to diagnose the presence of gall stones. Patients with acute symptoms were excluded from the study
Results: The main complications encountered were iatrogenic perforation of the gall bladder [8], haemorrhage [7], post-operative bile leakage [4], and large gut injury [1]. Conversion to open surgery was done in three cases due to difficulty in identifying anatomy and in case of large gut injury. There was one death
Conclusions: Laparoscopic cholecystectomy [LC] has become the preferred method of treatment in surgery for gall stone disease. A sound knowledge of the complications and their management makes this a safe procedure
ABSTRACT
To evaluate the role of parasitic infestation in the etiology of acute appendicitis. Descriptive case series. Department of Surgery, Pakistan Institute of Medical Sciences Islamabad, Pakistan, from January 2012 to June 2014. A retrospective analysis of histopathology reports of 1617 appendix specimens of patients of all ages and gender who underwent appendectomy for acute appendicitis was done. Detail histopathology reports of 65 cases with appendiceal parasitosis were examined. Data were analyzed through IBM SPSS version 20. A total of 65 specimens of appendiceal parasitosis amongst 1617 appendectomy cases produced a frequency of 4.02%. Mean age group of patients with appendiceal infestation was 14.38 +/- 9.83 year with an overwhelming [50.76%] presenting in the second decade of life. Male to female ratio was 1.24:1. Normal histology [n=39, 60%] was most frequently reported followed by lymphoid hyperplasia [n=18, 27.6%] whereas only 07 [9.85%] cases of parasitic infestation had acute or acute suppurative appendicitis. Appendiceal parasitosis may result in symptoms mimicking acute appendicitis without causing acute inflammation of the appendix so it cannot be considered conclusively in the etiology of acute appendicitis. Medical therapy must be instituted for cases of parasitic infestations