Is Glisson's Capsule Injury During Laparoscopic Cholecystectomy Responsible for Postoperative Right Shoulder Tip Pain: An Observational Cross-sectional Study.

IF 1.3 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2026-02-01 DOI:10.1097/SLE.0000000000001418

Ijan Dhamala, Navin Kumar, Prasoon Saxena, Palak Garg, Ashish Mishra, Nayana S Kumar, Farhanul Huda, Somprakas Basu

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引用次数: 0

Abstract

Background: The common postoperative complications of laparoscopic cholecystectomy (LC) are port site infection, biliary leak, hemorrhage, and pain at the surgical site, as well as at the shoulder tip. The aim of the study was to identify whether the Glisson's capsule (GC) injury during LC responsible for postoperative right shoulder tip pain (RSTP).

Material and methods: This prospective observational cross-sectional study was conducted over 18 months. We enrolled patients aged ≥18 years who underwent LC. Demographic data, preoperative investigations, and intraoperative video recordings were used to evaluate factors for postoperative RSTP.

Results: The study included 215 patients with a mean age of 42.65 years. Forty-one participants (19.1%) were male, and 174 (80.9%) were female. Our study showed that the incidence of RSTP after LC was 41.9%. Of 90 patients who had RSTP, 81 (90%) had GC injury. Among the 125 patients without RSTP, 97 (77.6%) also had Glisson's capsule injury. The difference in the presence of Glisson's capsule injury between patients with and without RSTP was statistically significant ( P =0.017).

Conclusion: Our study demonstrated an association between GC injury and post-LC RSTP.

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腹腔镜胆囊切除术中Glisson囊损伤是否导致术后右肩尖疼痛：一项观察性横断面研究。

背景：腹腔镜胆囊切除术（LC）常见的术后并发症是手术部位感染、胆道渗漏、出血和手术部位及肩尖疼痛。本研究的目的是确定LC期间Glisson's capsule （GC）损伤是否导致术后右肩尖疼痛（RSTP）。材料和方法：这项前瞻性观察性横断面研究进行了18个月。我们招募了年龄≥18岁接受LC的患者。人口统计数据、术前调查和术中视频记录用于评估术后RSTP的因素。结果：215例患者入组，平均年龄42.65岁。男性41人（19.1%），女性174人（80.9%）。我们的研究显示，LC后RSTP的发生率为41.9%。在90例RSTP患者中，81例（90%）有GC损伤。125例无RSTP的患者中，97例（77.6%）合并Glisson囊损伤。有无RSTP的患者Glisson’s capsule injury发生率差异有统计学意义（P=0.017）。结论：我们的研究证明了GC损伤与lc后RSTP之间的关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.