AIMTo document the differences in pathoanatomy of the gallstone disease between Tribals and Non-Tribals of Tripura.
MATERIALS AND METHODThis retrospective study includes 719 cases who underwent laparoscopic cholecystectomy during the period February 2012 to January 2015 of which 163 were Tribals and remaining 556 were non-Tribals. History and symptoms of presentation were noted in both the groups and duration to first consultation also noted in both the groups.
RESULTIt has been observed that the disease is more prevalent in non-Tribals than Tribals. While performing laparoscopic cholecystectomy, it has been noted that adhesions of Gall bladder are more common in non-Tribals; 15.95% of Tribals had adhesions with omentum and adjacent viscera in contrast to 23.9% in non-Tribals; 19.2% of adhesions were thick in Tribals, whereas 30.82% were thick in non-Tribals; 15.38% adhesions were tough in Tribals in comparison to 28.57% amongst non-Tribals.
CONCLUSIONLaparoscopic cholecystectomy is comparatively easier in Tribals than non-Tribals due to difference in pathoanatomy including relatively redundant mesentery of Gall bladder making the dissection easier.