LAPAROSCOPIC SURGERY;

INCIDENCE OF INTRA OPERATIVE AND EARLY POST OPERATIVE COMPLICATIONS

Abstract

Objective: To observe the rate of complications during elective laparoscopic
cholecystectomies. Design and study duration: It was a prospective study and was carried out
from July 2011 to June 2012. Setting: The study was conducted at PAF Hospital Islamabad.
Patients: 105 patients with gall stone disease who underwent elective laparoscopic
cholecystectomy. Material and Methods: 105 patients ranging in age from 23yrs to 81yrs were
operated. 12 were males and 93 were females. History, clinical examination and ultrasonography
were used to diagnose the presence of gall stones. Patients with acute symptoms were excluded
from the study. Results: The main complications encountered were iatrogenic perforation of the
gall bladder (8), haemorrhage (7), post-operative bile leakage (4), and large gut injury (1).
Conversion to open surgery was done in three cases due to difficulty in identifying anatomy and in
case of large gut injury. There was one death. Conclusions: Laparoscopic cholecystectomy (LC)
has become the preferred method of treatment in surgery for gall stone disease. A sound
knowledge of the complications and their management makes this a safe procedure.