A Study on laparoscopic cholecystectomy in a tertiary care hospital
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 2
Abstract
Background: Laparoscopic cholecystectomy is the preferred mode of treatment for gall stone diseases. This study is the audit of 125 laparoscopic cholecystectomy done in our institute between year 2015 to year 2016. In laparoscopic cholecystectomy common bile duct injuries were more common than open surgery. Objective of this study is to find out intra and postoperative complications in laparoscopic cholecystectomy and to find the reasons for conversion to open cholecystectomy. Methods: This is the retrospective study of standard four port laparoscopic cholecystectomy done during year 2015 to year 2016 in our institute. The result and complications of laparoscopic surgery were documented in audit form for each laparoscopic cholecystectomy and at the end the results are analyzed. Results: There were no common bile duct injury in our study of 125 cases and we had 5.6% conversion to open cholecystectomy due to various reasons discussed in the paper. There were no cases of postoperative abdominal abscess, port site hernia, common bile duct stricture or mortality in our study. One patient with cystic duct leak was managed successfully with post-operative endoscopic spincterotomy and stenting of common bile duct. Conclusions: Laparoscopic cholecystectomy as treatment of choice is associated with high success rate at our institute with added benefits of minimal invasive surgery. Our results are comparable to international standards. Critical view of safety is an essential prerequisite for prevention of bile duct injuries.
Authors and Affiliations
Mallaya 1, G Someswara Rao
Keywords
Related Articles
- EP ID EP361260
- DOI -
- Views 146
- Downloads 0
Margin positive basal cell carcinoma – 10 years retrospective analysis
Background: Basal cell carcinoma (BCC) is a locally invasive malignant tumor. Incidence is increasing by 10% per year; incidence of metastases is minimal, but local recurrence is common. The complete excision of the BCC...
A study of Acute Appendicitis patients presenting as non-traumatic acute abdomen at tertiary health care center
Background: Acute appendicitis is the leading cause of surgical acute abdomen worldwide, with a prevalence of approximately 7% of the population Aims and Objectives: To study Acute Appendicitis patients presenting as n...
Outcome of minor anorectal surgeries under local anesthesia versus spinal anesthesia at tertiary health care center
Background: Anorectal surgeries constitute one of the most frequent surgeries performed by the surgeons. Although usually considered minor surgeries, the associated morbidity of these procedures can be quite debilitating...
A clinicopathological study of an acute abdomen requiring surgical management
Background: Many diseases, some of which do not require surgical treatment, produce abdominal pain, so the evaluation of patients with abdominal pain must be methodical and careful. Methodology: An observational study on...
Safety and effectiveness of ultrasound-guided suprapubic cystolithotripsy for vesical calculi - A chart review
Background: We evaluated safety and effectiveness of a minimally invasive surgical technique involving ultrasound guided supra-pubic percutaneous access with desired size amplatz sheath placement under direct- vision for...