LAPAROSCOPIC CHOLECYSTECTOMY: AN AUDIT OF CASES DONE AT A TERTIARY CARE HOSPITAL

Abstract

Objective:

The study aims to describe the complications and hospital stay associated with laparoscopic

Material & Methods:

During the period from 01 August 2007 to 31 July 2009, all patients who were

operated with laparoscopic cholecystectomy were included. The age, gender and other related data

including the outcome and complications in 245 laparoscopic cholecystectomy cases were recorded. The

findings documented in numbers and percentages were compared and discussed with those of other studies.

Results:

51 years and of males from 28-54 years. Most of the patients were discharged on the 1

st

post-operative

day. There were 13 cases converted to open surgery (5.3%). Laparoscopic cholecystectomy was

successfully completed in the remaining 232 patients with an average operating time of 93.74 + 21.7.

Twenty four patients experienced morbidity. These included infections (n=10), bleeding (n=4), biliary

peritonitis (n=5), visceral injury (n=1), pneumonia (n=2) and partial small bowel tear (n=2). No bile duct

injury or mortality was seen.

Conclusion:

Laparoscopic cholecystectomy is being performed in this setting with acceptable morbidity,

mortality and conversion rates. A concerted effort to increase the performance of laparoscopic

cholecystectomy may increase cost effectiveness in this setting.

194(78.79%) were females and 51(21.21%) were males. Ages of female patients ranged from 25-

cholecystectomy.