Retrospective Analysis of Complications Associated with Laparoscopic Cholecystectomy: A Hospital Based Study
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 4
Abstract
Background: First laparoscopic cholecystectomy was performed by Dr Erich Miuhe in the year 1985 for removal of gall stones. It is after then that cholecystectomy has been widely used. Various major and minor complications are associated with it. Some risks are more with laparoscopic cholecystectomy as compared to open cholecystectomy. These complications can be divided into biliary and non-biliary. The aim of present study is to evaluate the incidence and complications associated with laparoscopic cholecystectomy. Materials and methods: The present retrospective study was conducted in the Department of General Surgery, Government Bangur Hospital, Pali, Rajasthan (India) during a period of 1 year. Medical records of the patient were analyzed. Complete account of history was taken into consideration. For laparoscopic cholecystectomy, procedure given by Lucker was used for placement of the operation team and the site of trocar insertion was also selected accordingly. All the data is recorded in a tabulated form. This data was analyzed by SPSS software. The test of significance that was applied was Chi square test and univariate regression curve was used to determine the level of significance. Result: A total of records of 230 patients were analyzed. All the patients were aged between 30-65 years. There was a male predominance in our study. The mean age group was 40.21+/-1.13 years. Majority of cases were of Chronic calculouscholecystitis(64.3%). There were 20% cases (n=46) of acute cholecystitis. There were 12 cases of leakage of bile, out of them 6 were managed conservatively, 4 underwent minimal invasive surgery and 2 underwent open surgery. Conclusion: Every procedure is associated with complications. With the introduction of Laparoscopic cholestectomy, there is a surge of newer type of complications but the morbidity associated with this procedure is low. The incidence of postoperative complications associated with our study was 14.85%.
Authors and Affiliations
Dinesh Kumar Sarda, Praveen Kumar Garg
Keywords
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