TO DETERMINE THE FREQUENCY OF PER AND POST OPERATIVE COMPLICATIONS AND CONVERSION RATE TO OPEN CHOLE

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Posted in Volume 15 - Number 3

SHOAIB GANGAT, MUHAMMAD AYUB, ANJUM ARA, AMEER ALI KHASKHALI, SHER FATIMA, IQBAL AHMAD MEMON

ABSTRACT | Full Text PDF

OBJECTIVE: To determine the frequency of per and post operative complications and conversion rate to open cholecystectomy and in elective laproscopic cholecystectomy performed in our unit.

DESIGN: Prospective observational study

DURATION AND PLACE: All the patients who underwent elective laproscopic cholecystectomy from March 2002 to March 2006, at 40 bedded Surgical Unite IV, Civil hospital Karachi.

PATIENTS AND METHODS: All patients who underwent elective laproscopic cholecystectomy were included in the study.

RESULTS: Per operative complications were encountered in 10(1.6%) patients. The conversion rate was 14(2.2%). Post operative complications i.e., bile leakage in 2(0.3%) patients, absence of gut sounds beyond 12 hours 36(5.7%),> 5 vomiting 42(6.7%) pts, wound infection 10 (1.6%) and bile leakage alongwith vomiting, ileus and wound infection in 1(0.16%). The mean post operative hospital stay was 1.9 days.

CONCLUSION: The relative frequencies of pre- operative and post –operative complications compare favourably with other national and international studies reflecting that laparoscopic cholecystectomy is safe when performed by experienced surgeons. We suggest that establishment of day-care units with the introduction of day-only laparoscopic cholecystectomy at public sector hospitals, as indicated by the recent studies, is not only feasible but also desirable. This will reduce the overall cost of treatment for these very common