A 6-year Prospective Clinical Study of Laparoscopic Cholecystectomies in Kashmir Valley, India

Abstract

I In nt tr ro od du uc ct ti io on n T he "gold standard" for management of symptomatic cholelithiasis is a laparoscopic cholecystectomy (LC). [1][2][3] Compared with an open cholecystectomy, an LC causes less postoperative pain and postoperative pulmonary dysfunction and allows for earlier discharge from the hospital, shortened recovery periods, and improved cosmesis. 1,[4][5][6][7][8] In the literature, large series of LCs have been reported with few complications, 6,9-12 and most surgeons and patients now prefer an LC to an open cholecystectomy.Minimal access surgery is limited in this region. Since 1995, only two teaching hospitals offer this service to a population of nearly 6 million. Due to an absence of trained laparoscopic surgeons and the A A 6 6--y ye ea ar r P Pr ro os sp pe ec ct ti iv ve e C Cl li in ni ic ca al l S St tu ud dy y o of f L La ap pa ar ro os sc co op pi ic c C Ch ho ol le ec cy ys st te ec ct to om mi ie es s i in n K Ka as sh hm mi ir r V Va al ll le ey y, , I In nd di ia a A Ab bs st tr ra ac ct t O Ob bj je ec ct ti iv ve e: : T To o e ev va al lu ua at te e t th he e f fe ea as si ib bi il li it ty y o of f r re ed du uc ci in ng g h ho os sp pi it ta al l s st ta ay y l le en ng gt th h a an nd d t th he e c co os st t o of f l la ap pa ar ro os sc co op pi ic c c ch ho ol le ec cy ys st te ec ct to om mi ie es s ( (L LC Cs s) ) i in n a a d de ev ve el lo op pi in ng g c co ou un nt tr ry y. . S St tu ud dy y D De es si ig gn n: : A A c cl li in ni ic ca al l s st tu ud dy y o of f p pa at ti ie en nt ts s w wi it th h s sy ym mp pt to om ma at ti ic c c ch ho ol le el li it th hi ia as si is s u un nd de er rg go oi in ng g a an n L LC C i in n G Go ou us si ia a H Ho os sp pi it ta al l, , D Di is st tr ri ic ct t H Ho os sp pi it ta al l B Ba ar ra am mu ul ll la a, , M Mo od de er rn n H Ho os sp pi it ta al l, , a an nd d A Ah hm me ed d H Ho os sp pi it ta al l o of f K Ka as sh hm mi ir r f fr ro om m J Ja an nu ua ar ry y 2 20 00 01 1 t to o M Ma ar rc ch h 2 20 00 07 7. . T Th he e m ma ai in n p pa ar ra am me et te er rs s e ev va al lu ua at te ed d w we er re e m mo or rt ta al li it ty y, , c co on nv ve er rs si io on n, , c co om mp pl li ic ca at ti io on ns s, , r re e--o op pe er r--a at ti io on n, , r re ed du uc ct ti io on n i in n h ho os sp pi it ta al l s st ta ay y l le en ng gt th h, , a an nd d c co os st t. . R Re es su ul lt ts s: : O On ne e t th ho ou us sa an nd d, , t th hr re ee e h hu un nd dr re ed d, , a an nd d t th hi ir rt ty y--f fi iv ve e p pa at ti ie en nt ts s, , 1 10 02 24 4 f fe em ma al le es s a an nd d 3 31 11 1 m ma al le es s, , p pr re es se en nt te ed d f fo or r L LC Cs s. . T Th he er re e w wa as s n no o m mo or rt ta al li it ty y i in n t th he e 3 30 0 p po os st to op pe er ra at ti iv ve e d da ay ys s. . T Tw we en nt ty y--f fi iv ve e c ca as se es s w we er re e c co on nv ve er rt te ed d t to o o op pe en n p pr ro oc ce ed du ur re es s, , w wh hi il le e o on ne e p pa at ti ie en nt t h ha ad d c co om ...