Port Site Complications in Patient after Laproscopic Cholecystectomy

Abstract

Objective: To assess the frequency of port site complications in patient after laproscopic cholecystectomy.

Study Design: Observational study.

Place and Duration of Study: This study was carried out in the Department of Minimal Invasive Surgical Centre (MISC) at Liaquat University of Medical & Health Sciences Jamshoro Pakistan, from Oct 2009 to 31st May 2011.

Materials and Methods: This study consisted of Four hundred & fifty patients, admitted for laparoscopic cholecystectomy. Base line and specific investigations were done in all patients, especially ultrasound of abdomen for assessment of gallstone disease. Inclusion criteria were that all patients diagnosed as case of gallstone disease on the basis of history, clinical examination and investigations specially ultrasound of abdomen.  Exclusion criteria included complicated gallstone disease, unfit patients for general anesthesia, pregnant ladies due to risk of foetal loss, patients with carcinoma of gall bladder, patients with acute pancreatitis and patients with obstructive jaundice. Postoperatively the patients were followed for up to 6 month and observed port site complications. Results were prepared with help of tables and graphs. Data was analyzed through SPSS software.

Results: 315(70%) were female and 135(30%) male. Ratio male: female ratio of 1:2.3 .Age ranging from a minimum of  20 year  to  65 year with mean age was  38+ 3.4 years. Complications were port site infection in
4 (0.88 %) cases, followed by port site bleeding in one (0.22 %) case and epigastric port site diathermy burn in one (0.22 %) case.

Conclusion: In conclusion, we recommend all 10 mm trocar sites be closed care fully. Over stretching of infra / supra umbilical port should be avoided. Gallbladder should be removed in endo- beg.