A study on operative complications associated with laproscopic cholecystectomy

Introduction: Laparoscopic cholecystectomy has revolutionized general surgery. Despite the tremendous impact of laparoscopic cholecystectomy on the management of biliary pathology, surgeons continue to face challenges in the application of Laparoscopic cholecystectomy in daily practice. Laparoscopic cholecystectomy today can be a straight forward operation, but may also be an operative approach fraught with underlying complexities. The present study was undertaken with the aim of finding out the frequency of complications encountered with this procedure and the methods adopted to overcome these complications. Several aspects of these complications and their treatment possibilities are analysed. Methods: This study is accomplished by studying 100 cases of laparoscopic cholecystectomy in one of the tertiary referral hospitals. Proforma was designed to include relevant demographic information, history of illness, examination findings and investigations concerned to the patients. Result: The common indication for laparoscopic cholecystectomy in our study was chronic calculous cholecystitis. 82% patients had chronic calculous cholecystitis which was supported by histo pathological report. It was followed by acute calculous cholecystitis (10%), acute Acalculous cholecystitis (5%), GB polyp (2%), and empyema (1%). In our study 32 patients (32%) were male and 68 patients (68%) were female. The average patient’s age undergoing laparoscopic cholecystectomy was ranging between 8 to 75 years. 11 patients (11%) were above the age 60 years. The average duration of the surgery was 88.13 minutes (range 45 ? 300mins). The most common complication encountered in this study was gall stone and bile spillage intraperitoneally. Common bile duct injury, Bleeding from liver, hollow viscus injury are other intraoperative complications encountered. Conclusion: Proper preoperative work up, knowledge of possible complications and adequate training makes this operation a safe procedure with favorable result and lesser complications.