Laparoscopic Cholecystectomy: An Experience of 550 cases at Sukkur

Abstract

Objective: To see the results and complication rate of Laparoscopic cholecystectomy at Sukkur  
Study Design: Prospective Study.  
Place and Duration of Study: This study was conducted at Ghulam Mohammad Mahar Medical College Hospital 
Sukkur and Sukkur Blood Bank Hospital from December 2004 to December 2009.  
Materials and Methods: the study comprises of 550 case. All were admitted from OPD of both hospitals. All 
patients had routine investigations, Liver function tests and ultrasound abdomen. The patients who underwent 
laparoscopic cholecystectomy whether successful or converted were included in study. The procedure was carried 
out by standard four port technique. Clinical examination, investigations, operative time, postoperative 
complications, reasons for conversion and hospital stay were recorded on proforma and results were drawn.  
Results; The male patients were100 and female patient were 450, male to female ratio was 1:4.5. Mean age of 
patients were 47.63 years ranging from 25years to 75years there were 127 (23.09%) obese, 72 (13.90) controlled 
hypertensive. Anatomical obstacle noted in 40 (7.27%) patients. Adhesions in 52 (9.45%) and acute cholecystitis in 
22 (3.75%) patients. Overall conversion rate was 4%. In total of 22 patients which were converted, causes were 
slipped clip 2, hemorrhage from falciform ligament 1, severe hemorrhage 3, unclear anatomy 6, common bile duct 
injury 4, intra abdominal adhesions 4, gangrene gall bladder 1, and advance carcinoma 1. Mean hospital stay was 
1.8, ranges from 1 day to 10 days.  
Conclusion; Laparoscopic cholecystectomy has a gold standard procedure. It is safe and effective and becoming 
cost effective day by day. Incidence of complication is low, morbidity and mortality are low. The pain free 
postoperative period and early ambulation lead to saving of value able working hours.