Volume : VIII, Issue : VI, June - 2018

Awareness of Laparoscopic Cholecystectomy in rural population

Latika Mittal, S C Sharma, Prithpal S Matreja

Abstract :

Introduction: Laparoscopic cholecystectomy is a gold standard procedure and has largely succeeded in replacing conventional open method for treating the chronic cholecystitis and cholelithiasis because of its numerous benefits. The objective of the study is to check the feasibility of Laparoscopic Cholecystectomy in rural based patients with fixed ideas of Open Cholecystectomy being better than laparoscopic cholecystectomy.

Methodology:This prospective study was done in Department of Surgery, diagnosis was made on the basis of thorough clinical examination supported by ultrasonography, and other investigations. All patients over the age of 18 years visiting the outpatient department with symptoms of pain in right upper abdomen indicative of Cholecystitis were included in the study. Patients over 60 years of age having Cholelithiasis with choledocholithiasis, pancreatitis, liver cirrhosis and carcinoma gall bladder were excluded from the study. Patients with abnormal lab results, uncontrolled diabetes mellitus, portal hypertension, history of upper abdominal surgery, compromised cardiopulmonary status were also excluded from the study. The following aspects were collected for all patients: post–operative pain, diet, resumption of activities, duration of hospital stay, cost–effectiveness, conversion rate, and opinion based on questionnaire.

Results: A total of 125 patients underwent cholecystectomy out of which 97 underwent laparoscopic cholecystectomy and 03 had open cholecystectomy which was converted due to intraoperative complications. Hospital stay was noted to be of averagely 2 days with complete resumption of activities and proper bowel movements. Post cholecystectomy syndrome was seen in 03 of the patients for which symptomatic treatment was given. No mortality was observed during the study. The patients preferred laparoscopic procedure, though after proper explanation for their concerns.

Conclusion: Laparoscopic cholecystectomy is a promising modality even in rural setup. Most of the patients nowadays reporting to our institution are interested in Laparoscopic cholecystectomy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Latika Mittal, S C Sharma, Prithpal S Matreja, Awareness of Laparoscopic Cholecystectomy in rural population, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-6 | June-2018

Number of Downloads : 216

References :