ASSOCIATION OF IATROGENIC GALL BLADDER PERFORATION IN PATIENTS UNDERGOING CHOLECYSTECTOMY.

Abstract

Background: Laparoscopic cholecystectomy is one of the most commonly performed laparoscopic surgery around the world providing low cost and morbidity treatment for gall bladder diseases. Iatrogenic gallbladder perforation is a common complication of laparaoscopic cholecystectomy .This study was conducted to establish the frequency of iatrogenic gall bladder perforation during laparoscopic cholecystectomy in our patients. Objective: To determine the frequency of iatrogenic gall bladder perforation during laparoscopic cholecystectomy in patients operated in surgical department of Nishtar Hospital Multan. Material and methods; A total of 292 patients undergoing laparoscopic cholecystectomy were recruited in our study. Iatrogenic gallbladder perforation during the surgery was noted in a proforma and data was analyzed by using SPSS version 20. Results; Of these 292 study cases, 87 (40.7%) were male patients and 127 (59.3%) were female patients. Our study results have indicated that majority of our patients i.e. 127 (59.3%) were aged more than 40 years. Iatrogenic gallbladder perforation was present in 40 (18.7%) of our study cases. Conclusion; Laparoscopic cholecystectomy in patients with cholelithiasis is quite safe, reliable and effective procedure as frequency of iatrogenic gallbladder perforation was low in our study cases. However, iatrogenic gallbladder perforation was significantly associated with increasing age, hypertension, and prolonged duration of surgery. Keywords; iatrogenic gallbladder perforation, laparoscopic cholecystectomy, cholelithiasis. DOI : 10.7176/JMPB/54-15 Publication date : April 30 th 2019