Introduction: Post-cholecystectomy syndrome (PCS) comprise of a group of abdominal symptoms that occur after cholecystectomy. Post cholecystectomy syndrome is defined as group of heterogeneous symptoms. It is consists of upper abdominal pain, vomiting and dyspepsia, which occur after cholecystectomy. Although, this term is not accurate, as it comprises biliary and non-biliary disorders, possibly not related to cholecystectomy. AIM : To analyse the clinical evaluation for post cholecystectomy Symptoms. Objectives : To identify the causes for post cholecystectomy symptoms.To identify pre-operative factors (h/o ERCP, attacks of cholecystitis) associated with post cholecystectomy symptoms. Materials & Methods : A Prospective clinical hospital based study was done in 100 patients at tertiary care referral hospital in the department of general surgery. All cases of post- cholecystectomy who had clinical symptoms of PCS Cases in which on follow up USG and LFT were done. Result: In our study 100 patients were taken who developed PCS after cholecystectomy. Among all patients, 16% patient developed PCS due to biliary etiology. Among 16% patients most common cause is recurrent CBD stone (6%) and second most common causes is retained CBD Stone (3%) & spincter Of Oddi dysfunction (3%). Discussion : This analysis provides a qualitative overview of etiologies of abdominal symptoms after cholecystectomy. Based on the etiologies of persistent and incident symptoms after cholecystectomy provided in this review, we identified the cause of long-term symptoms after cholecystectomy. Conclusion : In our study, PCS developed mainly due to non-biliary etiology considered 84% and biliary etiology considered only 16%. Female has higher risk to developing post cholecystectomy symptoms compared to male after cholecystectomy.
BACKGROUND:LC has become the gold standard for treating symptomatic cholelithiasis. It is important to keep in mind that the primary goal of LC is the safe removal of the GB, Therefore conversion to open should not be deemed a failure. Conversion to laparotomy may denitively be identied with surgical anatomy in difcult dissection or to address intraoperative complications such as bleeding, biliary or bowel injury. Ideally conversion should be carried out before complication arises Method and material: The present study was done on 100 patients undergoing laparoscopic cholecystectomy in the Department of General Surgery at Mahatma Gandhi Hospital. Factors(brief history, preoperative investigation and ultrasound ndings) that could help predict convertion of lap. Cholecystectomy to open were idened and were analysised with IBM.SPSS statistics software Result: Observation and analysis of all the parameters studied. Total 6 patients out of 100 cases were converted to open cholecystectomy i.e. conversion rate is 6%. Association of conversion with age was signicant. Association of BMI with conversion rate was signicant. no signicant association of acute cholecystitis with conversion rate. no signicant association of history of jaundice with conversion rate. Association of previous abdominal surgery with conversion rate was signicant. Association of wbc count with conversion rate was not signicant. There was signicant association between GB wall thickness and conversion rate. No signicant association of impacted stone with conversion rate. No signicant association of pericholecystic uid with conversion rate. Colclusion:In our study signicant correlation was found between the following parameters and conversion BMI, Previous abdominal surgery and GB wall thickness rest factors were not signicant.
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