Volume 3

Number 1 January 2019

Operative outcomes of Laparoscopic Cholecystectomy

DOI: https://doi.org/10.70357/jdamc.2019.v0301.05

Rahman MM1 , Rahman MS2 , Chowdhury AAMAM3 , Rahman MM4 , Qaiyum MA5 , Ahmed S6 , Hasan TM7

Abstract

Background: Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. It is considered as the gold standard treatment for cholelithiasis. Aim: To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital.

Materials and Methods: Data ware collected by retrospective record review method from 200 patients who underwent laparoscopic cholecystectomy. Patients' demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, postoperative complications, and hospital stay were collected and analyzed.

Results: Out of 200 patients, 165 (82.5%) were females and 35 (17.5%) males. The mean age of the patients was 49.35±8.68 years. Mean operative time was 65.94±11.52 min. Five cases (2.5%) were converted to open surgery, one due to obscure anatomy (0.5%) 2 due to acute cholecystitis and oedematous gall bladder (1.0%) and one by bleeding (0.5%) one for bile duct injury. Two (1.0%) cases had biliary leakage. Mean hospital stay was 2.6±1.5 days. Sixteen (8.0%) developed wound infection. There was no case of port site hernia, bowel injury or spilled gallstones. There was no mortality recorded in this series.

Conclusions: Laparoscopic cholecystectomy is a safe and effective line for management of gallstone disease that can beperformed with acceptable morbidity at a secondary hospital.

Keywords: Cholecystectomy, Laparoscopy, Cholelithiasis, Complications


  1. Associate Professor, Department of Surgery

    President Abdul Hamid Medical College, Kishoreganj

  2. Associate Professor, Department of Urology

    Women's Medical College, Sylhet

  3. Assistant Professor, Department of Anesthesia

    President Abdul Hamid Medical College, Kishoreganj

  4. Associate Professor, Department of Surgery

    Prime Medical College, Rangpur

  5. Senior Consultant (Surgery)

    Shahid Shamsuddin Ahmed Hospital, Sylhet

  6. Associate Professor, Department of Obstetrics and Gynaecology

    Diabetic Association Medical College, Faridpur

  7. Medical Officer

    250 Bedded Sadar Hospital, Patuakhali

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Volume 3, Number 1 January 2019
Page: 24-27