EVALUATION OF COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMIES
Keywords:
Laproscopy, cholecystectomy, complicationsAbstract
Objective: To analyze laparoscopic cholecystectomies and its complications.
Material and Methods: This study was conducted in Surgical Department of Hayatabad Medical Complex, Peshawar
from January 2010 to December 2013. This included all patients who underwent elective laparoscopic cholecystectomies.
We evaluated the results in terms of intra and post-operative complications including conversion to open
cholecystectomy, morbidity, mortality and re-operation rate.
Results: The overall complications were 29%. Intra-operative complications were bleeding in 07%, gallbladder perforation
in 4.2%, stone loss in 02%, common bile duct injury in 1.2% and injury to intra-abdominal organs in 0.8% of
cases. Regarding postoperative complications there was wound infection in 02%, bile leakage in 2.9%, sub-hepatic
collection in 1.2%, residual gall stones in CBD were 1.2%, biliary peritonitis due to leakage in 1.6%, conversion to open
cholecystectomy and re-operation were 2.9% and 1.2% respectively. The overall mortality was 0.4%.
Conclusion: The overall rate of complications of laparoscopic cholecystectomies in our unit are comparable to that
of the international standards
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