Per-Operative and Post-Operative Complications of Laparoscopic Cholecystectomy: A Cross-Sectional Study in a Tertiary Care Hospital in Bangladesh (original) (raw)
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International Surgery Journal
Background: Laparoscopic cholecystectomy is a popular method to treat gallbladder diseases. But adopting laparoscopic cholecystectomy in a treatment of gallbladder diseases like symptomatic cholelithiasis or cholecystitis introduced a new spectrum of associated intraoperative and postoperative complications. The aim of this study was to assess the intraoperative and postoperative complications of patients undergoing laparoscopic cholecystectomy.Methods: This retrospective study was conducted in department of surgery of Lab Aid Hospital, Dhanmondi Central Hospital, and Ad Din Barrister Rafiqul Hospital, Dhaka, Bangladesh, during the period from December 2019 to December 2021 among 100 patients undergoing laparoscopic cholecystectomy. The intraoperative and postoperative complications were collected from the record book of the patients for this study with consent from the patients and guardians. This study was approved by the Institutional Review Board of Lab Aid Hospital and Ad Din B...
Study of Problems & Complications During and After Laparoscopic Cholecystectomy
Scholars Journal of Applied Medical Sciences, 2016
Nowadays, laparoscopic cholecystectomy is the procedure of choice for cholelithiasis and a part of general surgical practice. Benefits of this approach include shorter hospital stay, less pain, quicker return to normal activities and improved cosmetic outcome. This study was done to evaluate the problems & complications faced during and after laparoscopic cholecystectomy like adhesions, sessile gallbladder, thickened wall of gallbladder, bleeding, duodenal injury, cystic duct avulsion and miscellaneous causes such as equipment failure, unsuspected pathology or enterobiliary fistula. This study was conducted on 30 patients of gallbladder disease admitted for cholecystectomy in which laparoscopic cholecystectomy was attempted. All the patients were selected at random. In the end it was concluded that adhesions around gallbladder & thickened wall of the gallbladder were the most common problems encountered during this study and intra-operative bleeding & gallbladder wall rupture were the most common complications during surgery. Unforeseen problems like technical failure, due to problem in equipment, can happen during laparoscopic cholecystectomy. Wound infection & fever in the post-operative period were the commonest complications after surgery especially in those patients who had undergone conversion into open cholecystectomy because of intra-operative problems. No wound infection was encountered in cases that underwent successful laparoscopic cholecystectomy.
Outcome of laparoscopic cholecystectomy in terms of complications in Lady Reading Hospital Peshawar
The Professional Medical Journal
Objective: To evaluate the outcome after laparoscopic cholecystectomy in terms of these complications in our setup. Study Design: Descriptive cross-sectional study. Setting: Department of General Surgery, MTI-Lady Reading Hospital Peshawar. Period: July 2018 to June 2019. Material & Methods: A total of 115 patients undergoing laparoscopic cholecystectomy were enrolled in this study and were assessed for the development of various postoperative complications. Results: The mean ± SD age of study participants was 45.92±5.41 years. Females (n=67; 58.2%) outnumbered males (n=48; 41.7%) in this study. Most common complication was port site infection noted in 7 patients (6.1%) with gall bladder perforation being second most common complication observed in 6 patients (5.2%). Post-operative fever was noted in 4 patients (3.5%). Conclusion: In our study the majority of patients undergoing laparoscopic cholecystectomy recovered uneventfully without any mortality. Port site infection was the mo...
Postoperative complications of laparoscopic cholecystectomy among women in Permam hospital
2016
Background: Benefits of minimally invasive or laparoscopic procedures include less postoperative discomfort. Objective: This study aimed to identify the early postoperative complications of laparscopic cholecystectomy and their association with age, occupation and previous laparatomy. Patients and Methods: 60 female patients diagnosed with having symptomatic gallstone underwent laparscopic cholecystectomy in Pirmam General Hospital, during the period from January 2015 to July 2015. Surgery done by researchers and after 10 days, the patient interviewed and examined for finding the complications, the patient then reexamined after 30 days for the presence of other complications. Results: Postoperative complications among study sample were as following: shoulder pain (25%), serous discharge from port (3.3%), stone spillage (1.7%), and hernia (18.3%). There was no statistically significant association between postoperative complications and age groups, occupation and history of previous laparotomy (mostly lower abdominal operations). Conclusion: Laparoscopic cholecystectomy is associated with few and low rate complications the most common distressing complication is shoulder pain . Key words: Laparoscopy, cholecystectomy, treatment outcome
An Audit of Laparoscopic Cholecystectomy
Objective: To evaluate the morbidity and mortality rates in laparoscopic cholecystectomy. Material and Methods: This retrospective descriptive study was carried out in surgical "D" ward Khyber Teaching Hospital, Peshawar, from December 2012 to December 2014 in which 233 patients after fulfilling the inclusion and exclusion criteria with symptomatic gallstones disease were enrolled. Demographics, complications of surgery and conversion to open were reviewed from clinical notes and noted on a pre-designed proforma. Data were analyzed using SPSS version 16 and results compared with other studies. Results: A total of 233 patients were studied during the audit period. Of these 41(17.6%) were males and 192(82.4%) were females. Mean age of patients was 36.56±11.32 years. Mean operating time was 56.57±13.95 minutes. Complications encountered during the study include conversion to open cholecystectomy 2 (0.9%), epigastric port site bleeding 3 (1.3%) and port site infection 6(2.5%). Mean hospital stay was 3.37±2.27 days. There were no cases of umbilical port hernia, bile duct or colonic injury. No mortality was observed in our study. Conclusion: The various data collected during the audit suggest that the results of laparoscopic cholecystectomy carried in our unit are satisfactory.
Complications in Laparoscopic Cholecystectomy: Experiences from A Study of 1425 Cases
Journal of Bangladesh College of Physicians and Surgeons
Objective: To evaluate the complications of laparoscopic cholecystectomy in the symptomatic cholelithiasis and other benign gall bladder diseases. Methods: This descriptive observational study was carried out at CMH Dhaka and CMH Jashore from March 2016 to Jun 2022, to evaluate the frequency and outcome of management of all the complications in laparoscopic cholecystectomy. A total of 1425 patients of laparoscopic cholecystectomy were included in this study. Patients were followed up for a period of three months after operation. The complications in laparoscopic cholecystectomy observed in this study were divided into (i) Access related (ii) Intraoperative (biliary and extrabiliary) and (iii) Postoperative. Results: The incidence of access-related, intraoperative or procedure-related biliary, extrabiliary and postoperative complications were 3.64%, 2.95%, 4.98% and 1.96% respectively. Access related complications were extraperitoneal insufflations 1.40%, port site bleeding 1.19%, sm...
A Comparative Study on Postoperative Morbidity in Laparoscopic and Open Cholecystectomy
2020
Aim: To compare the postoperative morbidity associated with open and laparoscopic cholecystectomy. Material and methods: The study included 120 patients with cholelithiasis diagnosed in USG. They were divided into two groups. This study was held in the Surgical Unit-II of Jinnah Hospital Lahore for one-year duration from March 2019 to March 2020. Results: The mean age of the patients in group A was 38.6 ± 6.7, and in group B. 38.4 ± 5.7 in group B. In the case of a hospital stay, the mean length of stay in the hospital was 3.7 ± 0.7 in group A versus 1.7 ± 0.5 in group B. p value <0.001. Regarding the number of gallstones, a single stone was present in 12 (20%) patients in the open cholecystectomy group and in 14 (23.3%) patients in the laparoscopic cholecystectomy group. 2-4 stones were present in 20 (33.3%) patients in group A, as in 16 (26.6%) in group B. More than 5 stones were present in 28 (46.7%) patients in group A and 30 (50%) of patients in group B. Postoperative pain and postoperative infection were lower in the laparoscopic group compared to open cholecystectomy. Conclusion: Although both techniques Laparoscopic and open cholecystectomy are quite effective in treating patients with gallstone disease, laparoscopic cholecystectomy has been found to be more reliable with lower complication rates and shorter hospital stay.
Experience in laparoscopic cholecystectomy in Nobel Medical College, Nepal
Heart, Vessels and Transplantation, 2019
Objective: A laparoscopic cholecystectomy (LC) is the treatment of choice for gallbladder diseases. The aim of this study is to analyze laparoscopic cholecystectomies performed by a single surgeon over 8 years at Nobel Medical College Teaching Hospital and Research Centre Pvt. Ltd. of Biratnagar, Nepal (NMCTH). Methods: We performed a retrospective analysis of 7557 patients that underwent a LC by a single surgeon, from October 2010 to July 2018. We divided it into 3 groups that include data of every three years. Results: The hospital stay, operation time and conversion rates were decreased by years of experience. Female patients outnumbered male (M:F=1:3.7) patients in this study. The hospital stay (3 days), operation time (21 min), conversion (0.3%) and complications (1.9%) rates decreased from Group 1 to Group 3 (p<0.05). Conclusion: As surgical experience increased with a rising number of cases, the conversion rate, complications, hospital stay and mean operation time decrease...
Experience of Laparoscopic Cholecystectomies in a Tertiary Care Hospital: a Retrospective Study
2020
Introduction: Laparoscopic cholecystectomy is the most commonly performed surgical procedure of digestive tract. It has replaced open cholecystectomy as gold standard treatment for cholelithiasis and inflammation of gallbladder. It is estimated that approximately 90% of cholecystectomies in the United States are performed using a laparoscopic approach. The aim of this study was to evaluate the outcome of Laparoscopic cholecystectomy in context to its complications, morbidity and mortality in a tertiary care hospital. Methods: This retrospective study was conducted on 1200 patients, who underwent laparoscopic cholecystectomies, during the period from January 2019 to December 2019, at Government Medical College Jammu J & K, India and necessary data was collected and reviewed. Results: In our study, a total of 1200 patients were studied including 216 males (18%) and 984 females (82%). The mean age of the patients was 43.35±8.61. The mean operative time in our study was 55.5±10.60 m...
The Effects of Laparoscopic Cholecystectomy a Cross-Sectional Study
Zenodo (CERN European Organization for Nuclear Research), 2022
This paper aims to know the type of effects after laparoscopic cholecystectomy. The behaviour of surgical treatment of gallbladder diseases was determined by laparoscopic cholecystectomy. A cross-sectional study was conducted in different hospitals in Iraq, and all patients who were exposed to gallbladder disease were tributaries of surgical treatment from February 2019 to April 2020; and in this study, 110 were collected and divided into two groups (single incision laparoscopic cholecystectomy 50 patients) (conventional laparoscopic cholecystectomy 60 patients). The main risk factors for laparoscopy in our study were those related to the origin of ischemic heart disease with a total of 35 patients (31.8%) in both groups, heart valve disease and Arrhythmia in both groups for 22 patients with (20%). The Laparoscopic Cholecystectomy Visual Rating Scale has been relied on for the purpose of Data about pain and nausea-vomiting. The results showed a high severity for patients who underwent single incision laparoscopic cholecystectomy at all levels and a higher death rate for four patients compared with two patients for conventional laparoscopic cholecystectomy. We conclude from this study that conventional laparoscopic cholecystectomy is currently considered the gold standard for the purpose of obtaining fewer complications as conventional laparoscopic cholecysectomy, and it is the preferred method for doctors to laparoscopic cholecystectomy.