A clinico pathological study of cholelithiasis and management

Abstract

Aim & Objectives: The aim of this work was to collect a comprehensive account of the disease profile of cholelithiasis, its clinical presentation, complications and the management in the prevailing set up in our hospitals.Methodology: This clinic pathological study and management of cholelithiasis was done in Dr. B.R. Ambedkar Medical College and K.C. General Hospital attached to the Dr.B.R. Ambedkar Medical College, Bangalore. Fifty cases during the period December 1995 to March 1998 were randomly selected which were admitted to surgical units.Results: In the present study,Majority of the patients studied in this series came with chronic history of repeated attacks of pain and dyspepsia. Cholelithiasis is generally more common in females; in our study also the female to male ratio is 2:1.2. The only investigation which we relied upon was ultrasonography with 96% sensitivity for gallbladder stones, whereas for common bile duct stones the sensitivity is 70%. Minilap cholecystectomy has the advantage of very much reduced hospital stay was 4 days. In cases, where exploration of CBD was done, the average hospital stay was 12 days.Conclusion: In conclusion, the conventional cholecystectomy and minilap cholecystectomy still remain to be the commonly done operation in majority of our hospitals and other centres with good results.