IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-1-17681 Original Research Paper A CLINICAL STUDY OF CHOLELITHIASIS NARAYANAMOORTHY RAMASAMY Dr. January 2019 8 1 01 02 ABSTRACT

 

BACKGROUND AND OBJECTIVES

Gallstones are the major cause of morbidity and mortality throughout the world. With atleast

10 % of the adults have gallstones with a recent rise in the incidence due to change in the dietary factors. This study intends to know its various modes of presentation, treatment, outcome

 

 

METHODS

Fifty patients with symptoms and signs of cholelithiasis were included in the study, clinical profile, investigation, treatments, outcomes were analyzed.

 

RESULTS

 

The highest age incidence of cholelithiasis was in the 5th decade, more common in females. Pain abdomen was the most common symptom. Ultrasonography showed gallbladder stones in all patients and 52% of patients undergone open cholecystectomy, 48% of patients undergone laparoscopic cholecystectomy. The conversion rate of lap to open cholecystectomy was 4%. The operating room time and the length of post operative stay were 110 min and 7 days in open cholecystectomy and 55 min and 3 days in lap cholecystectomy.

 

INTERPRETATION AND CONCLUSION

 

The result showed cholelithiasis was more common in females, 5th decade, presented most commonly with pain abdomen. Ultrasonography was the most common investigation. Laparoscopic cholecystectomy reduces the number of hospital days, pain and  disability