Audit of Laparoscopic Cholecystectomy Cases: Retrospective Analysis

Abstract

Introduction: Aim: The aim of this study was to evulate the intraoperative and postoperative complications of laparoscopic cholecystectomy, as well as the frequency of conversions. Method: Medical records of 487 patients who were diagnosed with cholethiasis and underwent laparoscopic cholecystectomy were analyzed retrospectively in the time period from 2016 to 2018. Factors such as age, gender, white blood cell count and gallbladder ultrasonographic findings were noted. Correlation between these factors and occurrence of complications was analyzed. Result: In this three years retrospective study, 7.5% of patients who were initially planned for laparoscopic cholecystectomy were converted to open cholecystectomy in 2016. Also open conversion rates were 1.8% and 2.1% in 2017 and 2018 respectively. Causes of conversions are also being investigated. Post laparoscopic cholecystectomy patients who had bile leak and underwent laparotomy was 2.3% in 2016 and 1.8% in 2017. Biliary stricture in post laparoscopic cholecystectomy patients who required laparotomy was 1.5% in 2016 and 0.5% in 2018. Conclusion: Intraopeative complications and postoperative complications associated with laparoscopic cholecystectomy have their own specific characteristics. During the past three years, there was no case of mortality among laparoscopic cholecystectomy patients, but 1.8% of these patients had morbidity. It is important recognizing intraoperative complications during surgery so they are taken care of in a timely manner during surgical intervention. Conversion should not be considered a complication.