HOW SAFE IS LAPAROSCOPIC CHOLECYSTECTOMY? - A REVIEW OF 327 PATIENTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 69
Abstract
BACKGROUND World over success of laparoscopic surgery has mirrored the success of laparoscopic cholecystectomy and it usually is the first surgical operation performed by a surgeon laparoscopically. Though regarded as safe, the anatomical variations in biliary tree and lack of experience to 3-dimensional view sometimes lead to unforeseen complications. MATERIALS AND METHODS This case series study was conducted to analyse the overall incidence of various complications of laparoscopic surgery in a mixed setup of senior and junior surgeons in the Department of Surgery in a tertiary care institute of Punjab, India. RESULTS A total number of 327 patients undergoing laparoscopic cholecystectomy were studied in the period from January 2008 to June 2009. Females outnumbered males in this study. The complication rate varied from 5.78% in patients with a diagnosis of cholelithiasis to 13.16% in patients undergoing cholecystectomy for acute cholecystitis. Complications were found to be higher in males and in age group of 60 - 69 years. The rate of intraoperative and postoperative complications is 4.59% and 2.1% respectively. CONCLUSION Proper preoperative assessment and pre-anaesthetic assessment can be helpful in prevention of laparoscopic complications. Whenever necessary, the conversion to open should not be delayed.
Authors and Affiliations
Shah Sheerin, Kumar Abhishek, Singla Pallavi, Singh Kuldeep
Keywords
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- EP ID EP233251
- DOI 10.14260/Jemds/2017/1074
- Views 98
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