Assessment of complications of laparoscopic cholecystectomy

Abstract

Background:The prevalence of gall stones ranges from 10-20% and it is the major cause of morbidity. The present study was conducted to assess complications of laparoscopic cholecystectomy.Materials & Methods:140 cases of gall bladder stones of both genders were treated with laparoscopic cholecystectomy.The operations were performed with standard four port technique. All were subjected to hematological, biochemical and radiological investigation.Complications of procedure was recorded.Results: Diagnosis of cases was chronic cholecystitis in 112, acute calculouscholecystitis in 18, sclero-atrophic cholecystitis in 5, GB mucocele in 4 and chronic cholecystitis with cholecysto-duodenal fistula in 1 case. Common causes of conversion was CBD injury in 3, pericholecystitis in 1 and biliary leak from cystic duct stump in 1 case. Common complications was bile leak in 5, port site hematoma and infection in 1, choleperitoneum in 1, umbilical hernia in 2 and retained duct stone in 1 case. The difference was significant (P< 0.05).Conclusion: Common complications were bile leak, port site hematoma, infection, choleperitoneum, umbilical hernia and retained duct stone.