A PROSPECTIVE STUDY:INCIDENCE AND CONSEQUENCESOF GALLSTONE SPILLAGE DURING LAPROSCOPIC CHOLECYSTECTOMY AT PMCH,PATNA

DR. SUSHIL KUMAR; MD. HABIBULLAH ANSARI; DR. BINOD KUMAR; MD ASJAD KARIM BAKHTEYAR

Volume : VIII, Issue : II, February - 2019

A PROSPECTIVE STUDY:INCIDENCE AND CONSEQUENCESOF GALLSTONE SPILLAGE DURING LAPROSCOPIC CHOLECYSTECTOMY AT PMCH,PATNA

Dr. Sushil Kumar, Md. Habibullah Ansari, Dr. Binod Kumar, Md Asjad Karim Bakhteyar

Abstract :

Introduction: Biliary tract disorders are one of the commonest abdominal conditions that the surgeons, gastroenterologists and radiologists come across. Among these, chronic cholecystitis associated with cholelithiasis is a frequently encountered pathology. Laparoscopic cholecystectomy is now regarded as the treatment of choice for symptomatic gallstones diseases around the world. Two operative complications, namely bile duct injury and complications due to spillage of stone/bile within the peritoneal cavity are reported to occur with greater frequency during laparoscopic cholecystectomy. This study was undertaken to find the incidence and consequences of gallstones spillage during laproscopic cholecystectomy at PMCH, Patna. Material and Methods: The present study was performed on 100 patients with clinical presentation of cholelithiasis who were seen in general surgery OPD and WARD in Patna Medical College and Hospital (PMCH), Patna. We included all the patients undergoing laparoscopic cholecystectomy for symptomatic gall stone disease within the age group of 30–55 years. Exclusion criteria: All mmunocompromised patients, patients on immunosuppressive therapy, those having preoperative fever and associated choledocholithiasis. Results: Spillage of gallstones was the major complication occurring in 15 cases where maximum number of stones was recovered during the procedure. Spilled gallstones were common in females than males. A total of 5 patients had bile leakage. Average hospital stay was 2 days. There was no mortality in our study. Conclusion: Gallbladder content spillage is a common occurrence and whenever it occurs, the goal of the surgeon should be to manage the complications with minimal harm to the patients and to reduce the unwanted consequences. Surgeon should be very careful and must attempt to remove all visible stones and irrigate abdominal cavity.