Evaluation of Perioperative Factors for Prediction of Postcholecystectomy Syndromes

Sayed Mohammed Asfaque Aamir; Sattwik Acharya

doi:10.5005/jp-journals-10033-1605

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Evaluation of Perioperative Factors for Prediction of Postcholecystectomy Syndromes

Sayed Mohammed Asfaque Aamir, Sattwik Acharya

Keywords : Abdominal pain, Acute cholecystitis, Analysis, Bile duct injury, Calot's triangle, Cholecystostomy, Cholelithiasis, Gallstone, Laparoscopic cholecystectomy, Tokyo guidelines

Citation Information : Aamir SM, Acharya S. Evaluation of Perioperative Factors for Prediction of Postcholecystectomy Syndromes. World J Lap Surg 2024; 17 (1):23-27.

DOI: 10.5005/jp-journals-10033-1605

License: CC BY-NC 4.0

Published Online: 14-02-2024

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Abstract

Aim: To find the factors contributing to postcholecystectomy symptoms after laparoscopic cholecystectomy. Methodology: A retrospective observational study with 50 symptomatic patients visiting the outpatient department (OPD) of the Department of Surgery and Department of Casualty following laparoscopic cholecystectomy whose perioperative clinical factors were evaluated to predict the development of postcholecystectomy syndromes using a Chi-square test. Conclusion: • Pain was the predominant symptom seen in all (100%) of the patients. • Female sex (70%) and body mass index (BMI; 30%) were a strong significant predictor. • Previous history of hospitalization (p < 0.0008) for acute cholecystitis (32%), acute pancreatitis (4%), obstructive jaundice (18%), cirrhosis (14%) were significant predictors of pelvic congestion syndrome (PCS). • Ultrasonography (USG) findings (p < 0.0471) of thickened gallbladder (GB) wall (40%) and pericholecystic collection (16%) were strong predictors of difficult surgery and contributed to PCS. • The most common type of early PCS was bile leak (16%). • Age and previous abdominal surgeries were not significant predictors.

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