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RMJ. 2011; 36(1): 7-9


Laparoscopic Cholecystectomy–An Audit at LUH/Jam.

Muhammad Munir Memon, Fazila Hashmi, Shahida Rjper, M. Tahir, Ambreen Munir, Noshad Ahmed Shaikh.

Abstract
Objective
To evaluate the results of laparoscopic cholecystectomy in symptomatic gall stones disease emphasizing on complications, morbidity and mortality.
Patients and Methods
This descriptive retrospective study was carried out in department of general surgery Liaquat University Hospital Jamshoro, Sind. Notes of all patients who underwent laparoscopic cholecystectomy in the department over an 18 month’s period were reviewed. Demographics as well as details of cases of conversion to open operation and complications were noted on a designed performa. Data were analyzed using SPSS10.
Results
Out of 120 patients, 107 (85%) were females and 18 (15%) were males. The age ranged from 17 to 60 years (Mean 40 years). Six (9.9%) patients had bile leak, 3 (3.9%) developed port site wound infection, 3 (3.9%) developed collection in Morrison pouch and in 3 (3.9%) stones were recovered from epigastric port site wound. There were two cases of bile duct injury and one case of colonic injury. Conversion rate was10% and one patient died in post-operative period.
Conclusion
Though laparoscopic cholecystectomy is a safe and effective treatment for gall stone disease, our study showed relatively high complication rate. It may be because of learning curve, as it remains a procedure with the potentials for serious complications. Thus we need to have a structured training program involving stepwise progression of training. (Rawal Med J 2011;36:7-9).

Key words: Laparoscopic cholecystectomy, bile duct injury, bile leak.



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