Laparoscopic Cholecystectomy - A Cross Sectional Study

Abstract

Aims and Objectives: 1. To study the clinical profile of patients undergoing laparoscopic cholecystectomy. 2. To study the post operative complications of laparoscopic cholecystectomy. Methodology: Ultrasound confirmed 48 cases of either sex admitted in department of surgery with cholelithiasis, gall bladder polyp, acute or chronic cholecystitis were included in this survey. These patients underwent laparoscopic cholecystectomy after preoperative preparation during August 2011-December 2013. Results: Highest age incidence was seen in 4^th decade with female preponderance. Most common presenting symptom was pain in abdomen followed by nausea, vomiting, dyspepsia and fever. Only 1 procedure was converted to open cholecystectomy with conversion rate of 2.08%. It was due to dense adhesions from chronic infection. The overall post-operative complication rate was 6.25% with wound infection being the most common occurring in 2 cases and prolonged ileus in 1 case. Chronic cholecystitis was the major histopathological diagnosis. The median post-operative stay in our study was 3 days. Conclusion: Chronic cholecystitis is the most common presentation of cholelithiasis with female pre-ponderance and incidence more in the 4^th decade. Laparoscopic cholecystectomy is safe and feasible treatment with less complication rate and early recovery.