The Result of Gall Bladder Puncture and Non-puncture on Laparoscopic Cholecystectomy with Specimen Retrieval Bag for Patients with Acute Calculous Cholecystitis

Abstract

Background: The outcomes of punctured and non-punctured laparoscopic surgery in the with specimen retrieval bag in cholecystitis patients are interesting to study. The result is aimed at wound infection. and cost savings for surgery using an artificial biopsy bag

Objective: The result of punctured and non-punctured cholecystectomy in acute inflammation of gallbladder disease patients.

Materials and Method: This prospective randomized control trial was used to study. Between April 2020 - November 2021, the sample group consisted of the first sample was a patient undergoing laparoscopic surgery in gallstone disease patients at Kalasin hospital the first the second sample was a group of personnel who use a specimen retrieval bag that was simple randomized. The instrument used in the research was a data record form from patient and patient medical records, and the satisfaction questionnaire on using specimen retrieval bag.

Results: The blood loss in group 1 had the lowest blood loss. The duration of surgery and duration of healing in group 4 was the lowest. The pain scores in all groups were similar and found that bile leakage in group 2. Infections were found in groups 1 and 4 with the same highest values. Satisfaction with the use of convenient biopsy bags was the highest

Conclusion: Research findings can lead the concepts gained and provided an alternative for operation. The selection of laparoscopic cholecystectomy depends on the surgeon's experience and expertise. Gall bladder puncture method causes more bile to leak which recommend to use the specimen retrieval bag. The custom-made specimen retrieval bag can be used safely and the user is satisfied.

Key words: laparoscopic surgery, specimen retrieval bag, gallbladder gallstone disease