A Hospital Based Study on the Frequency of Bile and Gall Stone Spill during Laparoscopic Cholecystectomy and Its Significance in the Postoperative Period
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Laparoscopic surgery is now the gold standard in the management of gallbladderdiseases as for many other surgical conditions.[3] The advantages of laparoscopic overopen cholecystectomy are many as reported throughout the world and includes lesspost-operative pain, earlier return of bowel function, shorter length of hospital stay,earlier return to full activity, improved cosmesis and decreased overall cost.[3- 7]Laparoscopic cholecystectomy is however not without drawbacks. Two operativecomplications, namely bile duct injury and complications due to spillage of stone/bilewithin the peritoneal cavity are reported to occur with greater frequency duringlaparoscopic cholecystectomy.[8-10] Several studies have shown that the incidence inspilled gallstones during laparoscopic cholecystectomy is about 5-40% of thesurgeries performed, while incidence of stone loss is unknown.[11] In our study wehave compared the demographic profile, preoperative and postoperative clinical,hematological, biochemical, radiological and intraoperative parameters in patientswith spillage of bile and/or gallstone with those not having any spillage. Aims and Objectives – 1. To study the frequency of bile and gall stone spillage during laparoscopic cholecystectomy in our setup in so called simple & difficult gall bladder. 2. To assess the significance of gall stone and bile spillage in post-operative patients after laparoscopic cholecystectomy. Material and Methods – The study was conducted in two years on a total of 300 patients of gall bladder disease admitted for laparoscopic cholecystectomy throughout patient department/Emergency in Subharti medical college in whom laparoscopic cholecystectomy wasattempted. Result - This prospective study was conducted in the Department of General Surgery Subharti Medical College, Meerut (U.P) over a period of three years.300 patients satisfying the inclusion and exclusion criteria that underwent laparoscopic cholecystectomy were analyzed.Our efforts have been directed towards evaluating the frequency ofbile and gallstone spill during laparoscopic cholecystectomy and its significance in thepostoperative period of these patients for better management. Our study also reveals that there is extra time lag between simple and difficult laparoscopiccholecystectomy.
Authors and Affiliations
Dr. Prateek Bajpai, Dr. Krishna Murty, Dr. Sanjay Pandey, Dr. Ankit Garg, Dr. Deepanshu Gupta, Dr. Antriksh Srivastava, Dr. Akul Gupta
Keywords
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- EP ID EP572597
- DOI 10.9790/0853-1804071525.
- Views 79
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