DOI: http://dx.doi.org/10.18203/2349-2902.isj20173885

Complications of laparoscopic cholecystectomy: an analysis of 1,695 laparoscopic operations

Dasharadha Jatothu, Rajkumar Sade, Kirthana Sade, . Taruni, Nagababu Pyadala

Abstract


Background: Laparoscopic cholecystectomy (LCs) is the gold standard method to treat gallstone disease. But there are some complications which occur frequently as compared to open cholecystectomy.

Methods: The prospective study was conducted in the Department of Surgery, Kamineni Institute of Medical Sciences, Telengana during the period of 2 years; March 2015 to February 2017. A total of 1,695 laparoscopic cholecystectomy cases were included in this study. Several treatment options such as, conservative treatment, minimally invasive treatment and open surgery was performed based on the severity of the disease.

Results: Majority of patients were female (83.9%) and most common age group affected was above 40 years. Intra-operative and post-operative complication occurred in 4.5% and 1.9% patients respectively. Majority complications were treated by conservative treatment and minimally invasive treatment. So, in conclusion, we can use conservative and minimally invasive treatment to manage the complications from laparoscopic cholecystectomy.

Conclusions: Conservative treatment options and minimally invasive treatment was more efficient to overcome the post-operative complication of laparoscopic cholecystectomy.


Keywords


Cholelithiasis, Complications of cholecystectomy, Laparoscopic cholecystectomy

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References


“Gallstones” NIDDK. November 2013. Retrieved 27 July 2016.

Ansaloni L, Pisano M, Coccolini F, Peitzmann AB, Fingerhut A, Catena F, ET AL. 2016 WSES guidelines on acute calculous cholecystitis. World J Emergency Surg. 2016;11(1):25.

Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, ET AL. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991;161(3):385-7.

Andrew M, John H, Donohue, Michael G. Spectrum and management of major complications of laparoscopic surgery. Am J Surg. 1993;165:655-62.

Joseph F, David C, Kofron A. Devastating and fatal complication associated with combined vascular and bile duct injuries during cholecystectomy. Arch Surg. 2002;137:703-10.

Kapoor M, Yasir M, Umar A, Suri A, Aiman A, Kumar A. Complications of laparoscopic cholecystectomy, an analysis of 300 patients. JK-practitioner. 2013;18(1-2):7-11.

Capizzi FD, Fogli L, Brulatti M, Boschi S, Di Domenico M, Papa V, et al. Conversion rate in laparoscopic cholecystectomy: evolution from 1993 and current state. J Laparoendoscopic and Advanced Surg Tech. 2003;13(2):89-91.

Bedogni G, Mortilla MG, Ricci E, Conigliaro R. The role of endoscopic treatment of early biliary complications of laparoscopic cholecystectomy. Laparoscopic Surg. Milan: Ed Masson. 1994:145-88.

Brandabur JJ, Kozarek RA. Endoscopic repair of bile leaks after laparoscopic cholecystectomy. Semin Ultrasound CT MRI. 1993;14:375-80.

Davids PHP, Rauws EAJ, Tytcat GNJ. Post-operative bile leakage: endoscopic management. Gut. 1992;33:1118-22.

Kozarek RA. Endoscopic treatment of biliary injuries. Gastroenterol Clin North Am. 1993;3:261-70.

Woods MS, Shellito JL, Santoscoy GS, Hagan RC, Kilgore WR, Traverso LW, et al. Cystic duct leaks in laparoscopic cholecystectomy. Am J Surg. 1994;168(6):560-5.

Huang SM, Wu CW, Hong HT, King KL, Lui WY. Bile duct injury and bile leakage in laparoscopic cholecystectomy. Br J Surg. 1993;80(12):1590-2.

Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993;165(1):9-14.

Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy: experience with 375 Consecutive Patients. Ann Surg. 1991;214:531-41.

Fabre JM, Fagot H, Domergue J, Guillon F, Balmes M, Zaragosa C, et al. Laparoscopic cholecystectomy in complicated cholelithiasis. Surg Endosc. 1994;8:1198-201.