Extra Biliary Complications Of Laparoscopic Cholecystectomy: A Prospective Analysis Of 100 Cases
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 10
Abstract
Background: Various complications of laparoscopic cholecystectomy are – complications associated with creation of pneumoperitoneum (veress needle/ trocar related injuries), hemorrhage, bile duct injury , overlooked common bile duct stones, bile leaks, perihepatic collections and gall-bladder perforations. In the era of minimal invasive surgery, the spectrum of complications has changed. Aim of present study was to study the extabiliary complications of laparoscopic cholecystectomy along with morbidity and mortality associated with these complications. Material and Methods: One hundred patients of symptomatic gall stones satisfying the selection and exclusion criteria and with documented gall stones on ultrasonography and who underwent lapaoscopic cholecystectomy done by experienced surgeons ,were included in the study. Patients with any medical illness, jaundice, acute cholecystitis, acute pancreatitis, pregnancy, CBD stones, CBD more than 10mm, gall bladder mass, severe coagulopathy, peritonitis, or any previous upper abdominal operations were excluded from the study. Result: Majority of the patients were females (85%). Mean age of the females in this study was 42.31+/-11.69 years and in male patients it was 46.53+/- 14.69 years. The overall mean age was 42.95 +/- 12.19 years. Approximately 95% of patients presented with right upper abdominal pain and equal percent with dyspepsia. Whereas (58%) presented with vomiting. All patients had chronic symptoms. Mean range of duration of symptoms was 15.37+/- 15.06 months. 29 patients were with previous lower abdominal surgery. Conclusion: It is concluded that the thorough knowledge of anatomy. Starting dissection close to neck of gall bladder, meticulous dissection of the Calot’s triangle to achieve good view with a wide window, confirming gall bladder neck and cystic duct junction and releasing traction on the gall bladder before applying clips and cutting, using minimal cautery in Calot’s triangle, ensuring that no non targeted tissue is cauterized, are essentials to safe laparoscopic cholecystectomy
Authors and Affiliations
Saurabh Gupta, Rommel Singh, Karnail Singh, Karanvir Singh, Harmanpreet Tiwana, Amrita Thind
Keywords
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