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Category: Volume 06 Issue 01 January 2018
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Title: Intraoperative Intra-Abdominal Complications of Laparoscopic Cholecystectomy- A Prospective Study

Authors: B L Sunkaria, J S Shergill, R Kaur, H Bhatia, S Kaur

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.48

Abstract

Cholecystectomy is the commonest operation of the biliary tract and second most common operative procedure today. Advantages of laparoscopic cholecystectomy are shorter hospital stay, less pain, quick return to normal activities, better cosmetic scar, diminishes contact with patient’s blood. The complications of laparoscopic cholecystectomy can be divided into biliary and extra-biliary complications. The extra biliary complications can be further divided into access related and procedure related.

Aim And Objective of the study: To study the intra operative and intra abdominal complications; and to study the morbidity and mortality associated with laparoscopic cholecystectomy and; to formulate guidelines to prevent intraoperative and intra abdominal complications.

Material and Methods: The prospective study was conducted in the Department of General Surgery, Government Medical College, Amritsar, with 50 consecutive patients of symptomatic gall stones. The inclusion criteria was symptomatic gall stone disease in which gall stones were documented on ultrasonography, no clinical, biochemical or ultrasonographic evidence of common bile duct stones or gall bladder mass. Patients of both sexes between 16-75 years were included in the study.

Observations: In the present study 3 patients had bleeding during the procedure 2 from gall bladder bed and 1 from cystic artery, which was easily controlled. One patient had liver injury by scissor during separation of gall bladder from its bed. Gall bladder perforation is a common intra operative event. In the present study 2 cases (4%) had perforation. Conversion rate was 2% in the present study due to a CBD injury.

Conclusion: Major extra-biliary as well as biliary complications were prevented by strictly following the basic principles of laparoscopic cholecystectomy. 

Keywords: Intraoperative| Intra-Abdominal| Complications| Laparoscopic Cholecystectomy.

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Corresponding Author

Dr Jaspreet Singh Shergill

MS, Senior Resident, Deptt. of Surgery,

Govt. Medical College & Hospital, Amritsar

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