An Audit of Gall Bladder Surgery and its Implications on Resident Training

Abstract

Objective: To find out the tier of surgeons performing most of surgery on the gall bladder and imply the results for improving the outcome of gall bladder surgery.

Study Design: Retrospective review.

Place and Duration of Study: This study was conducted at the South Surgical Ward, Mayo Hospital, Lahore from December, 2015- 30^th November, 2016

Materials and Methods: This was a carried out on the hospital record in order to find out number of gall bladder surgeries whether open or laparoscopic performed by a surgeon. We found out a total of 124 patients were operated for gall bladder removal.

Results: Our study shows that out of 124 patients, 95 (76.6%) patients had laparoscopic cholecystectomy and 29 (23.3%) patients had open cholecystectomy. 74.7 % (n=71) patients of laparoscopic surgery were performed by consultants, 23.1% (n=22) by senior registrars and 2.1% by the residents. 13.7% (n=4) of the open cholecystectomies were done by the consultants, 34.4 % (n=10) by senior registrars and 51.7 % (n=15) by the residents

Conclusion: We are performing laparoscopic cholecystectomy three time more often than the open cholecystectomy. The residents are the most frequent operating surgeons for open cholecystectomy. This has helped us improve the open surgery skills of residents.