Complications of laparoscopic cholecystectomy

Abstract EN

Background : cholecystectomy is one of the most frequently performed operations.

Open cholecystectomy has been the gold standard for over 100 years .laparoscopic cholecystectomy was introduced in 1980s.

Patient and methods : Two hundred patients admitted to first surgical unit in Baghdad teaching hospital from first May 2007-first May 2009 with gall stone disease both symptomatic and asymptomatic, of both genders and any age were evaluated by history, examination and investigations and data was collected.

Results : Two hundred patients underwent LC in the study period.

181 (90.5 %) were females and 19 (9.5 %) were males.

The most common age group was between 21-40 years (55 %), bleeding was the commonest complication, occurring from trocar site in 11 (5.5 %) cases, vascular injury in Calot's triangle in 9 (4.5 %) cases and liver bed in 23 (11.5 %) cases.

Spilled gall stones occurred in 32 (16 %) cases, biliary leak in 7 (3.5 %) cases including common bile duct injury in one case.

Port site infection was seen in 11 (5.5 %).

There was no bowel injury or port site hernia and there was no mortality.

Conclusion : LC is a safe and effective procedure in almost all patients with cholelithiasis.

Good training and dealing with the complications makes this procedure with good results and less complication.