Evaluation of complications of Laparoscopic Cholecystectomy. A single centre analysis
Bibliographic record
Abstract
OBJECTIVE: To study and analyse the incidence of complications of laparoscopic cholecystectomy in different periods during and after surgery with respect to ease of access and vision, intra operative management, post operative recovery and complications. The study was conducted at a single laparoscopic surgical centre. DESIGN: The study conducted was prospective (Canadian Task Force Classification II-I) PATIENTS: The present study included 190 patients who were admitted to the surgery department of IMS Medical college& SUM Hospital, Bhubaneswar and who underwent laparoscopic cholecystectomy for calculus cholecystitis. The period of study was from September 2014 to September 2016 over a 2 year period. Measurements and main results: All the surgeries were performed by the same surgical team using the same surgical technique that is laparoscopic Chole cystectomy. The medical records were reviewed, and data were collected with respect to age, site, previous surgery, intra-operative findings,operative time and post operative complications. Patient average age was 37.36 yrs. The female to male ratio was 6.03: 1with a clear female preponderence.The average operative time was 110 minutes. Twenty six patients had other co morbid conditions. In all 63 patients had minor to major complications during and after the procedure. There were nine conversions to open surgery and nil mortality. The average hospital stay was 3 days. CONCLUSION: In our experience of 190 patients who underwent Laparoscopic Cholecystectomy, 63 patients experienced surgery associated complications of which 19 were moderate to major complications. There was no mortality in our series. Rest all had a speedy and smooth recovery and were discharged from the hospital in 3 days. Thus laparoscopic cholecystectomy for the management of calculus cholecystitis can be performed safely and effectively in most cases and with complications that are comparable to the open procedure but at the same time offering the major advantages of a laparoscopic procedure.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".