A COMPARATIVE STUDY OF RETRIEVAL OF GALL BLADDER DURING LAPAROSCOPIC CHOLECYSTECTOMY WITH ENDOBAG VERSUS WITHOUT ENDOBAG IN TERMS OF BENEFITS AND COMPLICATIONS.
Journal Title: IJAR-Indian Journal of Applied Research - Year 2018, Vol 8, Issue 10
Abstract
Introduction: In laparoscopic cholecystectomy gall bladder perforation and spillage are the common complications encountered during dissection and removal of gall bladder. Gall bladder removal can be completed simply and safely when a retrieval bag is used. This trial was undertaken to compare the retrieval of gall bladder with endobag versus without endobag. A sterile latex glove was used as an endobag which is an easily available and a cheaper alternative with similar effectiveness. Aim: To compare the benefits and complications of extraction of gallbladder in an endobag v/s direct extraction through 10 mm port in laparoscopic cholecystectomy in terms of operative time, port site infection, port site pain and duration of hospital stay. Materials and Methods: This study was carried out in Department of Surgery SN Medical College Agra to compare benefits and complications of extraction of gallbladder in an Endobag versus direct extraction. A total of 100 patients with symptomatic cholelithiasis were included in the study after surgical assessment and confirming diagnosis. They were divided into two groups of 50 each by randomization. Results: In this study of 100 patients 92% were females and 8% were males. With the use of an endobag, mean operative time taken was 1 hour as compared to 1.3 hours taken in procedure without using an endobag. Mean hospital stay was of 3.45 days and only 2% patients had port site infection in cases with endobag as compared to 3.6 days and 10% patients had port site infection in cases without endobag. There was no spillage of stones and bile with the usage of endobag. Conclusion: An endobag for retrieval of gall bladder during laparoscopic cholecystectomy was found better than the direct extraction of the gall bladder. A sterile latex glove made endobag is a simple, safe and cost-effective method and can be used instead of endobag.
Authors and Affiliations
Dr. Jogendar Pal Singh Shakya, Dr. Charu Yadav, Dr. Arun Kumar, Dr. Sachin Shukla
Keywords
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