World Journal of Laparoscopic Surgery

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VOLUME 1 , ISSUE 1 ( January-April, 2008 ) > List of Articles

RESEARCH ARTICLE

Complications of Laparoscopic Cholecystectomy

Rooh-ul-Muqim, Qutab-e-Alam Jan, Mohammad Zarin, Mehmud Aurangzaib, Aziz Wazir

Citation Information : Rooh-ul-Muqim, Jan Q, Zarin M, Aurangzaib M, Wazir A. Complications of Laparoscopic Cholecystectomy. World J Lap Surg 2008; 1 (1):1-5.

DOI: 10.5005/jp-journals-10007-1039

Published Online: 01-04-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To evaluate the complications of laparoscopic cholecystectomy in symptomatic and asymptomatic cholecystolithiasis.

Design and duration

Prospective study from 1st June 2005 to 30th June 2007.

Setting

Surgical “D” Unit, Khyber Teaching Hospital, Peshawar.

Patients

All patients with cholecystolithiasis who had laparoscopic cholecystectomy.

Methodology

All patients with gallstone disease both symptomatic and asymptomatic, of both sexes and any age were evaluated by history, examination and investigations and the data collected on a proforma. Patients with chronic liver disease or those deferred by the anesthetist were excluded from the study. All patients underwent laparoscopic cholecystotomy, outcome and complications were analyzed.

Result

351 patients underwent laparoscopic cholecystectomy in the study period. 314 (89.46%) were females and 37 (10.54%) were males. Common age group was between 21-40 years (56.41%), bleeding was the commonest complication, occurring from trocar site in 35 (9.97%), vascular injury in Callot's triangle in 57 (16.23%) and liver bed in 39 (11.11%) cases. Spilled gallstones occurred in 37 (10.54%), biliary leak in 14 (3.98%) including CBD injury in 2 cases. Port site infection was seen in 17 (4.84%), while bowel injury was seen in only one (0.28%) cases. Conversion to open surgery was in 11 (3.13%) cases. Late complications CBD stricture and Port hernia were seen in 5 (1.42%) and 3(0.85%) cases respectively. Mortality was only 2 (0.56%).

Conclusion

LC is a safe and effective procedure in almost all patients with cholelithiasis. Proper preoperative work up, knowledge of possible complications and adequate training makes this operation a safe procedure with favorable result and lesser complications.


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