Outcome of Laparoscopic Cholecystectomy in Patients With Gallstone Disease at a Secondary Level Care Hospital

Abstract

Background: Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. )It is considered as the gold standard treatment for cholelithiasis. Aim: To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital. Methods: Data of 492 patients who underwent laparoscopic cholecystectomy were retrospectively reviewed. Patients’ demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, intra and postoperative complications, and hospital stay were collected and analyzed from patients’ files. Results: Out of 492 patients, 386 (78.5%) were females and 106 (21.5%) males. The mean age of the patients was 49.35±8.68 years. Mean operative time was 65.94±11.52 min. Twenty-four cases (4.9%) were converted to open surgery, four due to obscure anatomy (0.8%), 11 due to difficult dissection in Calot’s triangle (2.2%) and nine by bleeding (1.8%). Twelve (2.4%) cases had biliary leakage, seven (1.4%) due to partial tear in common bile duct, the other five due to slipped cystic duct stables. Mean hospital stay was 2.6±1.5 days. Twenty-one (4.3%) developed wound infection. Port site hernia was detected in nine (1.8%) patients. There was no cases of bowel injury or spilled gallstones. There was no mortality recorded in this series. Conclusions: Laparoscopic cholecystectomy is a safe and effective line for management of gallstone disease that can be performed with acceptable morbidity at a secondary hospital.

Subtotal cholecystectomy for difficult acute cholecystitis: how to finalize safely by laparoscopy—a systematic review

“…Laparoscopic cholecystectomy is considered the gold standard for treatment of benign gallbladder diseases [1]. Cholecystectomy using this method can be completed in 90% of elective cholecystectomies and 70% of emergency cholecystectomies [2]. Acute cholecystitis, especially if difficult, can change the above paradigm, resulting in open conversion or change of technique.…”

Evaluation of Radical Cholecystectomy for Incidental Gallbladder Carcinoma Diagnosed After Cholecystectomy, Single Center Experience

“…Cholecystectomy is one of the most common abdominal surgeries performed in all parts of the world 1 . Various methods have been used in the past, laparoscopic cholecystectomy is the method of choice in centers where expertise and equipment is not a problem 2 .…”

Influence of traditional Chinese culture on the choice of patients concerning the technique for treatment of cholelithiasis: Cultural background and historical origins of gallbladder-preserving surgery

“…They hope to both remove stones in the gallbladder and retain the integrity of the gallbladder. Even though the safety of laparoscopic cholecystectomy has received international recognition and the procedure has become standard for the treatment of cholelithiasis, 6 in response to the clinical needs of a large number of patients, China has developed choledochoscopic gallbladder-preserving cholecystolithotomy (CGPC) as a minimally invasive technique for gallbladder preservation and removal of gallbladder stones. According to the internationally used diagnostic approach and treatment rules and regulations, CGPC evidently does not conform to the mainstream trends of the operative treatment of cholelithiasis.…”