Your Health and Fitness Partner: Androxal & FitHub

We are also excited to expand our scope by including valuable information on Androxal, a potent medication beneficial in various medical conditions. This remarkable drug, derived from the testosterone molecule, has made its mark significantly in the field of endocrinology. Patients and medical professionals can rely on our comprehensive, unbiased, and scientifically grounded content on Androxal for gaining a robust understanding of its uses, side effects, and the latest studies related to it. We understand the necessity of accurate information when it comes to medication. Our newly launched section dedicated to Androxal aims at not only educating the readers about its nuances but also at contributing beneficially to their wellbeing. Stay tuned for insightful articles unraveling the potential of Androxal in medical science.

Sitemap | Policies | Feedback    
 About the Journal
Editorial Board
Journal Subscription
Instructions for Authors
E-mail Alerts
Forthcoming Events
Advertise with Us
Contact Us
Article Options
Printer Friendly Version
Search Pubmed for
Search Google Scholar for
Article Statistics
Bookmark and Share
A Cross-Sectional Study of One-Year Analysis of Fundus First and Calot’s First Approaches of Laparoscopic Cholecystectomies in a Tertiary Care Centre
Eppa Vimalakar Reddy, Raju Musham, Gourang Shroff, Vishnu Vardhan Rao Ganta
Department of Surgical Gastroenterology, Kims-Sunshine Hospitals, Secunderabad, Telangana, 
Hyderabad-500003, India. 

Corresponding Author
Dr. Eppa Vimalakar Reddy


Background: Laparoscopic cholecystectomy is routinely approached in two ways: the Calot’s first approach (CFA) and the fundus first approach (FFA). CFA is routinely used when the critical view of safety can be established safely, fundus first approach is useful when the anatomy is obscured due to frozen Calot’s. 
Methods: This is a prospective record of all laparoscopic cholecystectomies performed in Sunshine Hospitals, from 2019-2020. Intraoperatively, routinely Calot’s first approach was used and resorted to the fundus first method when difficulties were encountered with exposure of Calot’s triangle. Data was analyzed using a student’s t test and Pearson correlation. 
Results: Out of the 151 patients, 64 patients (44%) underwent fundus first and 87 patients (56%) had Calot’s first approach. Mean operative time for FFA (60.23mts ± 25) was similar to CFA (57.18mts ± 25) (P-Value-0.9). Bleeding during surgery was more for FFA (9%) than CFA (7%), though not statistically significant. There were no bile duct injuries, bowel injuries, or conversions. The mean hospital stay was 1.2 days (1-4 days) for FFA and 1.3 days (1-4 days) for CFA. Though, post-operative complications were more with FFA than CFA, [minor bile duct leak (CFA-2% vs FFA-4%), intra-abdominal collection (CFA-3% vs FFA-4%)] the difference was not statistically significant. 
Conclusion: Calot’s first method is a useful approach in elective cases, with well-defined anatomy, but it is difficult in cases with severe inflammation in Calot’s, or adhesions leading to frozen anatomy. Fundus first approach was extremely useful in these conditions and could avoid subtotal cholecystectomies, cholecystostomies, and open conversion without bile duct injuries.