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.
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.
Nonrandomized patients in a cholecystectomy trial: characteristics, procedure, and outcomes. BMC Surge 2006;6:17.
Role of Laparoscopic subtotal cholecystectomy in the treatment of complicated cholecystitis. Hepatobiliary Pancreat Dis Int 2006;5(4):584-9.
Surgeon experience and trends in intraoperative complications in laparoscopic cholecystectomy. BJS 2006;93;844-53.
A prospective study of bile leaks after laparoscopic cholecystectomy. Surg Endosc 2001;15:1299-1300.
Laparoscopic cholecystectomy: early and late complication and their treatment, Langenbecks arch. Surg 2004;389:164-17.
A comparison of open and laparoscopic cholecystectomy done by a surgeon in training. West Indian Med J 2006;55(2):103-9.
Out come of laparoscopic cholecystectomy in acute cholecystitis. J Coll Physicians Surg Pak 2005;15(7):400-3.
Laparoscopic cholecystectomy for acute cholecystitis: the evolving trend in an institution. Asian J Surg 2006;29(3):120-4.
Laparoscopic cholecystectomy in children with chronic hemolytic anemia. Is the outcome related to the timing of the procedure? Surg Endosc 2006;20(2):252-5.
Two Port needlescopic cholecystectomy: Prospective study of 100 cases. Hong Kong, Med J 2005;11(1);30-5.
Direct trocar insertion without pneumoperitoneum and the veress needle in laparoscopic cholecystectomy: a comparative study. Acta Chir Belg 2006;106(5).
Major bile duct injuries after laparoscopic cholecystectomy: a tertiary center experience. J Gastrointest Surg 2004;8(6):679-85.
An audit of cystic duct closure in laparoscopic cholecystectomies. Surg Endos 2006;20(6);875-7.
Vascular injuries in laparoscopic cholecystectomy: an underestimated problem. Dig Surg 2006;23(5-6);370-4.
Xanthogranulomatous panniculitis after spillage of gallstones during laparoscopic cholecystectomy mimics intra-abdominal malignancy. Surg Laparosc Endosc Percutan Tech 2006;16(4):248-50.
The consequences of lost gallstones during laparoscopic cholecystectomy. Neth J Med 2006;64(10):364-6.
Lost gallstones in laparoscopic cholecystectomy: all possible complications. Am J Surg 2007;193 (1)73-8.
Infective complications in Laparoscopic surgery. Surg Infect (Larchmet) 2006;7supply 2:5109-11.
Risk factors for wound infection after cholecystectomy. J Formos Med Asso 2004;103 (8).
Intestinal ischemia after laparoscopic cholecystectomy. JSLS 2006;10(2):236-8.
Small bowel evisceration after laparoscopic cholecystectomy: report of an unusual case. Minerva Chir 2006;6(2):167-9.
Conversion from Laparoscopic to open cholecystectomy: multivariate analysis of preoperative risk factors J Postgrad Med 2005;51(1):17-20;discussion 21-2.
Pararoscopic cholecystectomy: a report from a single center. World J Gastroenterol 2006;12(24):3887-90.
Functional Liver damage during laparoscopic cholecystectomy as the sign of the late common bile duct structure development. Hepato Gastroenterology 2003;50:676-9.
