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- 저자 : Kankaria, Ankita (검색결과 3 건)
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( Vikesh Vij ),( Rahul Yadav ),( Jeevan Kankaria ),( Raj Kamal Jenaw ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Laparoscopic common bile duct exploration (LCBDE) and cholecystectomy as a single-stage treatment of choledocholi thiasis have been shown to be superior when compared to the two stage management. Decompression after supra-duodenal choledochotomy is common practice as it reduces the chance of bile leaks. We conducted a randomized comparative study to compare the feasibility and outcomes in patients undergoing biliary stent insertion versus T-tube drainage following LCBDE via choledochotomy. Methods: The study involved 64 patients with choledocholithi asis, half of which underwent biliary decompression after LCB DE using biliary stent and in the other half T-tube was used. Results: Patients in the stent group had significantly shorter op erative time, lesser post-operative complications, lesser hospital stay and earlier return to normal activity (P<0.001). Conclusions: In our study, we found there is a significant re duction in length of hospital stay and morbidity for patients that have ante-grade biliary stent decompression of the CBD post laparoscopic choledochotomy when compared to T-Tube drainage. This implies that ante grade biliary stent insertion is likely to reduce costs and increase overall patient satisfaction.
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A Comparative Study of Early and Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis
( Rahul Yadav ),( Vikesh Vij ),( Jeevan Kankaria ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The treatment of acute cholecystitis, especially regarding the timing of intervention, is still debated in scientific commu nity despite the presence of several studies. So the aim of our prospective randomised study is to evaluate the feasibility of early Laparoscopic cholecystectomy(LC) for acute cholecystitis and to compare the results with delayed LC, in our set up. Methods: Between december 2016 to november 2017, 60 patients with diagnosis of acute cholecystitis were assigned randomly to early group, n = 30 (LC within 72 hours of admis sion), and delayed group, n = 30 (initial conservative treatment followed by delayed LC, 6-8 weeks later). Results: We found in our study that the conversion rate in early LC and delayed LC was similar (<6%). Operation time for early LC was 30.7 min versus 53.6 min for delayed LC, postoperative analgesia requirements (early, 2.4 days vs delayed, 5.3 days), or postoperative complications (early, <5% vs delayed, 10%). However, both groups had similar blood loss (88 vs 93 ml) but early LC resulted in shorter hospital stay (4.1 vs 10.1 days). Conclusions: Early LC for acute cholecystitis with cholelithiasis is safe and feasible, offering the benefits of shorter hospital stay and less cost to the patients. It should be offered to the patients with acute cholecystitis, provided that the surgery is performed within 72hrs of acute symptoms by an experienced surgeon.
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Sharma, Munesh K,Singh, Tarundeep,Pandey, Avdesh K,Kankaria, Ankita Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.8
Background: Cancer has become an epidemic disease. Nearly ten million new cancer cases are diagnosed annually in the world and out of these about half are from the developing world. To appropriately plan for treatment, management and prevention of the disease, it becomes necessary to study the trends about morbidity caused by cancers. Materials and Methods: Data for patients diagnosed with any form of gastrointestinal (GI) cancers was extracted from records maintained in the outpatient department registers of the Oncology Department of Government Medical College and Hospital in Chandigarh from 1999 to 2012. Trends were analysed for different categories of GI cancers for the period of 12 years. Results: In present study GI cancers accounted for 23 % of all registered cases (n-9603) of carcinomas. Males predominated for all GI cancers except in the gall bladder. Gastrointestinal cancers as a proportion of total cancers increased from 21% in 1999 to 25.9% in 2012 with a significant increasing trend in our series (${\chi}^2$ for linear trend=9.36, p<0.003). Cancers of the tonsil, oral cavity and pharynx taken together showed an increasing trend over the years (${\chi}^2$ for trend=55.2, p<0.001) whereas cancers of the lower GI (${\chi}^2=19.6$, p<0.0001) and gall bladder (${\chi}^2=19.5$, p<0.0001) showed a declining trend in our series. Conclusions: GI cancers form a significant proportion of all cancers reporting to our data. In depth studies to ascertain the reasons for the changing trends are required to design intervention programs. Further information is necessary from cancer registries and from the hospital records of oncology departments.
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