Patients Having Spillage of Bile and/or Gall Stone During Laparoscopic Cholecystectomy - Short Term Outcome
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 7
Abstract
Introduction: Biliary tract disorders are one of the commonest abdominal conditions that the surgeons, gastroenterologists and radiologists come across. Among these, chronic cholecystitis associated with cholelithiasis is a frequently encountered pathology. Laparoscopic surgery is now the gold standard in the management of gallbladder diseases as for many other surgical conditions. Two operative complications, namely bile duct injury and complications due to spillage of stone/bile within the peritoneal cavity are reported to occur with greater frequency during laparoscopic cholecystectomy. Study aimed to evaluate and compare the demographic profile, preoperative and postoperative clinical, hematological, biochemical and radiological parameters in patients with spillage of bile and/or gallstone with those not having any spillage. Material and Methods: The present study was performed on 118 patients with clinical presentation of cholelithiasis who were seen in general surgery OPD and ward of B.R.Singh Hospital and Centre For Medical Education and Research, Eastern Railway, Sealdah, Kolkata. We included all the patients undergoing laparoscopic cholecystectomy for symptomatic gall stone disease within the age group of 30-55 years. We excluded immunocompromised patients, patients on immunosuppressive therapy, those having preoperative fever and associated choledocholithiasis. Results: Out of 59 patients of spillage group 57(96.6%) has spillage of bile alone or with gallstones and 2 (3.4%) had no spillage of bile. Fourty two patients (71.2%) had spillage of stones either alone or with bile and 17 (28.8%) had no spillage of stones. Fourty (67.8%) patients had spillage of both bile and gall stones. We also observed that 17 patients (28.8%) has spillage of bile only, 2(3.4%) had spillage of stones only while 40 (67.8%) had spillage of both bile and gall stones. Conclusion Gallbladder content spillage is a common occurrence and whenever it occurs, the goal of the surgeon should be to manage the complications with minimal harm to the patients and to reduce the unwanted consequences. Surgeon should be very careful and must attempt to remove all visible stones and irrigate abdominal cavity.
Authors and Affiliations
Kumar Pankaj, Vivek Dubey, Ananda Das Choudhuri
Keywords
Related Articles
- EP ID EP431481
- DOI -
- Views 112
- Downloads 0
Study of Bloodstream Infections in Paediatric Patients by using Automated Systems
Introduction: Bloodstream infections in paediatric patients is one of the important cause of morbidity and mortality. Blood culture technique is the gold standard for the diagnosis of such infections. Early diagnosis and...
Biochemical Abnormalities in Indian Aircrew
Introduction: Medical fitness of aircrew is of utmost importance to flight safety. Periodic medical examinations and biochemical investigations help in maintaining a high standard of physical fitness of all aircrew so as...
Percutaneous Fasciotomy in the Management of Dupuytren’s Contracture
Introduction: Dupuytren’s disease is a proliferative fibroplasia of the palmar fascia of the hand and fingers, resulting in progressive thickening and shortening of the palmar fascia. This results in the formation of cor...
A Study of Sensorineural Hearing Loss in Chronic Suppurative Otitis Media Patients - On use of Topical Ototoxic Ear Drops
Introduction: The hearing impairment in patients with CSOM has generally been observed to be of conductive type and less of sensorineural type. Since long attempts have been made to establish relationship of hearing loss...
Premature Rupture of Membrane- Risk Factors: A Clinical Study
Introduction: Premature rupture of membranes (PROM) is defined as a spontaneous leakage of amniotic fluid from the amniotic sac where the baby swims. The present study was conducted in the department of Obstetrics and Gy...