Complications of Laparoscopic Cholecystectomy and its Management
Objective: To determine frequency of various complications associated with laparoscopic cholecystectomy and various modes of its management.
Study design & duration: This is a cross sectional study started in January 2018 and completed in August 2018 consisted on total duration of 8 months.
Setting: Study was conducted in general surgery ward of Nishter Hospital Multan
Patients and methods: Total 100 cases were included in this, which were admitted in the ward for laparoscopic cholecystectomy due to cholelithiasis. Both male and female cases irrespective of their age were included in the study. These cases were admitted via OPD. After getting all necessary investigations diagnosis was confirmed and they were planned for laparoscopic cholecystectomy. Those planned for open cholecystectomy were not included. All relevant data such as age, gender, diagnosis, history and important points of physical examination were documented properly. Anesthesia fitness of all cases was taken before operation. These cases were retained in the ward for 2-10 days.
Results: Total 100 cases were included in this study. There were 5 cases having age 20-30 years, 30 cases were between 31-40 years age, 40 cases were between 41-50 years age, 15 cases between 51-60 years and 10 cases having age above 60 years. Out of 100 cases 6 cases got complications in laparoscopic cholecystectomy. Partial injury to CBd occurred in 4(4%) cases, partial injury to CHD occurred in one case and complete transaction of CBD happened in one case. Modes of treatment were laparotomy and T-tube insertion, placing drain usg guided.
Conclusion: Laparoscopic cholecystectomy is modern technique with minimum complications and more successful in modern world. Minimum dissection of soft tissues and good exposure.
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