Official Journals By StatPerson Publication

 

Abstract        Laparoscopic Cholecystectomy (LC) has lot of proven advantages over open cholecystectomy but some of its complications are always to be kept in mind for better results. This study was undertaken to study the complications of laparoscopic cholecystectomy and analyze them with regard to, conversion rate, intra-operative complications, post-operative complications, mortality and their management. This prospective study was conducted in the Department of Surgery, Government Medical College of Miraj, Maharashtra. The study included 50 patients who underwent elective laparoscopic cholecystectomy. Patients with age > 80 years, pregnant females, portal hypertension, and severe cardiac or pulmonary disease and pancreatic malignancies were excluded from the study. The complications which were noted include conversion to open cholecystectomy (12%), hematoma (16%), hemorrhage (6%), bile duct injury (2%), vascular injury (2%), visceral injury (2%), wound infection and wound pain (32%), pancreatitis (16%), retained stones (4%), subhepatic collection (2%), Port site and incisional hernia (16%).Guidelines for prevention for operative injury are similar to those of any open procedure namely, adequate training and experience, accurate identification of anatomy and identification of risk factors preoperatively leading to conversion of laporoscopic cholecystectomy to laparatomy.

Keywords: compications of cholecystectomy

 

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