Complications of Laparoscopic Cholecystectomy And It's Risk Factors : Our Experience from a Retrospective Analysis

Dr. Swapnil V. Sharma; Dr. Bhimsi P. Bhadaraka; Dr. Naman K. Patel

Volume : VII, Issue : XI, November - 2018

Complications of Laparoscopic Cholecystectomy And It's Risk Factors : Our Experience from a Retrospective Analysis

Dr. Swapnil V. Sharma, Dr. Bhimsi P. Bhadaraka, Dr. Naman K. Patel

Abstract :

AIM: The aim of this study was to evaluate the intraoperative and postoperative complications of laparoscopic cholecystectomy and the rate of conversions.

MATERIAL AND METHODS: Retrospective study of hospital records of 60 patients who had laparoscopic cholecystectomy were analyzed from JULY–16 to JAN–17 using odds�s ratio and p–value for proving statistical significance.

RESULTS: There were total 12 complications. Iatrogenic perforations of a gallbladder was the most common complication 4(6.6%),Among the postoperative complications (POC), the most common one is bile leaks 3(5%) and 5 cases converted to open surgery

The increased incidence of complications was noted in patients with ultrasonographic finding of gallbladder empyema and increased thickness of the gallbladder wall > 3 mm in 3 patients, as well as in patients with acute cholecystitis in 4 patients that was confirmed by pathohistological analysis. High incidence of complications was noted in patients with elevated white blood cell count in 8 patients and CRP in 8 patients.

CONCLUSION: Adopting laparoscopic cholecystectomy as a new technique for treatment of cholelithiasis, introduced a new spectrum of complications. Major biliary and vascular complications are life threatening, while minor complications cause patient discomfort and prolongation of the hospital stay. It is important to recognising complications during the surgery so they are taken care of in a timely manner during the surgical intervention. Planned Conversion should not be considered a complication.