ISSN No. 2079-8547 (Recognized by PMDC)
COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY IN SYMPTOMATIC CHOLELITHIASIS PATIENTS: EARLY EXPERIENCE AT TERTIARY CARE HOSPITAL
Abstract
ABSTRACT
Objective: To enlist the per-operative and early postoperative complications of laparoscopic cholecystectomy.
Study Design: Cross-sectional descriptive study.
Setting: Surgical “C” Unit Govt. Lady Reading Hospital, Peshawar.
Material and Methods: 100 cases of symptomatic cholelithiasis, admitted through out patients or Emergency department
of either sex, with ages ranging between 20 and 70 years, were included in this study for laparoscopic cholecystectomy.
After written informed consent, procedure was performed and per-operative and early postoperative complications
were noted and data was analysed.
Results: Among complications of access, difficulty in identification of anatomy in 12% cases. Among procedure complications;
vascular injury was seen in 08% cases. Injury to common bile duct in 04% cases was recorded. Bile duct
injury was noted in 02% cases. Dropped stones in peritoneal cavity in 10% cases were seen. Perforation of gallbladder
was recorded in 08% cases. Postoperative complications on first day after operation i.e. bile leak in drain in 06% cases,
fever in 04% cases were noted. Postoperative complications on first follow up visit i.e. wound infection in 06% cases
were recorded. Sub-hepatic collection in 06% cases was seen. Mean hospital stay was 41.96 hours in these patients.
Conclusions: We conclude that laparoscopic cholecystectomy is a safe procedure, although it is associated with some
serious complications. Proper laparoscopic training and equipment will minimize a potentially devastating outcome.
Key Words: Cholecystectomy, Laparoscopic, Complicati
Objective: To enlist the per-operative and early postoperative complications of laparoscopic cholecystectomy.
Study Design: Cross-sectional descriptive study.
Setting: Surgical “C” Unit Govt. Lady Reading Hospital, Peshawar.
Material and Methods: 100 cases of symptomatic cholelithiasis, admitted through out patients or Emergency department
of either sex, with ages ranging between 20 and 70 years, were included in this study for laparoscopic cholecystectomy.
After written informed consent, procedure was performed and per-operative and early postoperative complications
were noted and data was analysed.
Results: Among complications of access, difficulty in identification of anatomy in 12% cases. Among procedure complications;
vascular injury was seen in 08% cases. Injury to common bile duct in 04% cases was recorded. Bile duct
injury was noted in 02% cases. Dropped stones in peritoneal cavity in 10% cases were seen. Perforation of gallbladder
was recorded in 08% cases. Postoperative complications on first day after operation i.e. bile leak in drain in 06% cases,
fever in 04% cases were noted. Postoperative complications on first follow up visit i.e. wound infection in 06% cases
were recorded. Sub-hepatic collection in 06% cases was seen. Mean hospital stay was 41.96 hours in these patients.
Conclusions: We conclude that laparoscopic cholecystectomy is a safe procedure, although it is associated with some
serious complications. Proper laparoscopic training and equipment will minimize a potentially devastating outcome.
Key Words: Cholecystectomy, Laparoscopic, Complicati
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