A COMPARATIVE STUDY OF RETRIEVAL OF GALL BLADDER DURING LAPAROSCOPIC CHOLECYSTECTOMY WITH ENDOBAG VERSUS WITHOUT ENDOBAG IN TERMS OF BENEFITS AND COMPLICATIONS.

Dr. Jogendar Pal Singh Shakya; Dr. Charu Yadav; Dr. Arun Kumar; Dr. Sachin Shukla

Volume : VIII, Issue : XI, November - 2018

A COMPARATIVE STUDY OF RETRIEVAL OF GALL BLADDER DURING LAPAROSCOPIC CHOLECYSTECTOMY WITH ENDOBAG VERSUS WITHOUT ENDOBAG IN TERMS OF BENEFITS AND COMPLICATIONS.

Dr. Jogendar Pal Singh Shakya, Dr. Charu Yadav, Dr. Arun Kumar, Dr. Sachin Shukla

Abstract :

Introduction: In laparoscopic cholecystectomy gall bladder perforation and spillage are the common complications encountered during dissection and removal of gall bladder. Gall bladder removal can be completed simply and safely when a retrieval bag is used. This trial was undertaken to compare the retrieval of gall bladder with endobag versus without endobag. A sterile latex glove was used as an endobag which is an easily available and a cheaper alternative with similar effectiveness.

Aim: To compare the benefits and complications of extraction of gallbladder in an endobag v/s direct extraction through 10 mm port in laparoscopic cholecystectomy in terms of operative time, port site infection, port site pain and duration of hospital stay.

Materials and Methods: This study was carried out in Department of Surgery SN Medical College Agra to compare benefits and complications of extraction of gallbladder in an Endobag versus direct extraction. A total of 100 patients with symptomatic cholelithiasis were included in the study after surgical assessment and confirming diagnosis. They were divided into two groups of 50 each by randomization.

Results: In this study of 100 patients 92% were females and 8% were males. With the use of an endobag, mean operative time taken was 1 hour as compared to 1.3 hours taken in procedure without using an endobag. Mean hospital stay was of 3.45 days and only 2% patients had port site infection in cases with endobag as compared to 3.6 days and 10% patients had port site infection in cases without endobag. There was no spillage of stones and bile with the usage of endobag.

Conclusion:An endobag for retrieval of gall bladder during laparoscopic cholecystectomy was found better than the direct extraction of the gall bladder. A sterile latex glove made endobag is a simple, safe and cost–effective method and can be used instead of endobag