A Prospective Study on Cholelithiasis and Its Complications
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
The aim of the present study is to comprehensively study and evaluate the common etiological factors, types of clinical presentations and ultrasonography findings in Cholelithiasis, various reasons for diversion in the treatment (other than laparoscopic cholecystectomy, which is the gold standard), and to study the postoperative complications (if any) and incidence of various types of gallstones.Patients and methods: This hospital based prospective study includes100 consecutive casesdiagnosed with cholelithiasis admitted in Siddhartha Medical College and General Hospital between October 2015 to October 2017. Results: Increased incidence of cholelithiasis in the 5th and 6th decade. Female to male ratio is 3:2. Diabetes was noted as a risk factor in 44% of patients. 96 patients were reported as having chronic cholecystitis, 4 patients had acute cholecystitis and no evidence of rupture or gangrene or malignancy was noted.The operating room time for open cholecystectomy was 60-120 min withan average of 90 min and laparoscopic cholecystectomy was 40-100 min withan average of 70 min. The conversion rate from laparoscopic to open cholecystectomy was 4%. Bile duct injury was the most common complication, followed by wound infection.Conclusion: Majority of patients with cholelithiasis were females, age in the 5th decade with pain as most common presenting symptom and tenderness in right hypochondrium as most common sign.One should not hesitate to convert to open cholecystectomy if significant adhesions or inflammation are identified during laparoscopy.Subcostal incision was the most common incision used for open cholecystectomy.The pain and duration of hospital stay was less and patients can be discharged quickly when laparoscopic cholecystectomy was done.
Authors and Affiliations
Dr. K. Srinivasa Rao
Keywords
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- EP ID EP250810
- DOI 10.9790/0853-1612070104
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