Original Articles
Complications of Laparoscopic cholecystectomy | |
Dr. Harshit Arora | |
Aim- To assess the frequency and types of intraoperative and postoperative complications associated with laparoscopic cholecystectomy, along with the rate of conversions to open surgery. Materials and methods- Medical records of 100 patients diagnosed with cholelithiasis who underwent laparoscopic cholecystectomy were analysed. The analysis reviewed operative protocols, anesthesiology records, medical histories, laboratory findings, and imaging results to assess the types and frequencies of intraoperative and postoperative complications. Key factors evaluated included demographics such as age, gender, along with preoperative ultrasonographic and pathohistological findings of the gallbladders. Data analysis was done using SSPS software. Results- Out of the 100 patients in the study, 52 were female (52%) and 48 were male (48%). The median age was 42 years, including participants that were 18-60 year old. There were 33 patients (33.3%) with intraoperative complications (IOC). The most common complications noted were: iatrogenic perforations of the gallbladder- 13 (13%). Postoperative complications (POC) were observed in 45 patients, accounting for 45% of the cohort. The most prevalent complications included bleeding from the abdominal cavity exceeding 100 ml in 12 patients (12%) and bile leaks through drainage amounts ranging from 50-100 ml in 15 patients (15%). Other less common complications comprised surgical wound infections in 2 patients (2%) and incisional hernias at the port site in 4 patients (4%). Conclusion- Our study highlights the significant incidence of intraoperative and postoperative complications in laparoscopic cholecystectomy, though the smaller sample size may limit generalizability. Larger studies are needed to provide more accurate data and improve patient outcomes through refined surgical techniques and better risk management. |
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