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laparoscopic cholecystectomy outcomes at a tertiary level: A Retrospective Study

Author: 
Dr. Naveed Anjum Qureshi and Dr. Viney Sambyal
Subject Area: 
Health Sciences
Abstract: 

Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment for Cholelithiasis and is the most commonly performed operation of the digestive tract. Methods: Data of 860 patients who underwent LC at SMVD Superspeciality Hospital Katra from 1st May 2016 to 30th April 2018wasanalyzedretrospectively for comorbidities, Calots anatomy, conversion to open cholecystectomy, operative time, intra operative and postoperative complications and hospital stay. Results: Out of 860 patients, 697 (81.04%) were females and 163 (18.96%) males. The mean age of the patients was 49.5 years. Mean operative time was 65 min. 18 (2.09%) patients were converted to open surgery, 11 due to difficult dissection in Calot’s triangle (1.27%), one by bleeding from liver bed (0.12%), two patients (0.23%) had biliary leakage, one (0.12%) due to partial tear in common bile duct, one (0.12%) patient had bowel perforation at umbilical port, one patient (0.12%) was converted to open for suspicion of malignancy while one of the patients (0.12%) developed biliary peritonitis due to slippage of clips from cystic duct. Mean hospital stay was 3±1.5 days. Fifteen (1.7%) developed wound infection. There was no mortality recorded in this study. Conclusion: Laparoscopic cholecystectomy is a gold standard for management of gallstone disease that can be performed with acceptable morbidity.

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