English

Abstract

BACKGROUND: Since 1990 laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stones disease. The aim of this study was to evaluate the results of three port laparoscopic cholecystectomy in symptomatic patients with gall stones in terms of conversion rate, length of hospital stay, post operative complications, morbidity and mortality. METHODOLOGY: The retrospective study was carried out in Department of Surgery at Chirayu Medical College and Hospital, Bhopal. All the patients who underwent laparoscopic cholecystectomy in the department of surgery from (May2011- April 2013) were reviewed from department records. Patients with co morbidities, altered Liver function test and obstructive jaundice were excluded from the study. Demographics with patient details, conversion to open, complications of anaesthesia and surgery were reviewed from clinical notes, and department register. Data was analysed using SPSS-18 and results were compared with international studies. RESULTS: Out of 200 patients174 were females (87%) and 26(13%) males. The mean age of patients was 40.47±12yrs, the youngest patient was10 yrs old and oldest patient was 80 yr old. Mean operative time was 50min±11.16 min. The conversion rate in our series was 6(3.0%) cases; Port site wound infection was seen in 6 (3%) patients. There was no bile duct injury, major haemorrhage or bowel injury necessitating opening surgery. On follow up no patient had post operative abdominal abscess, port site hernia or post operative bile duct stricture, there was no mortality in our study. CONCLUSION: Laparoscopic cholecystectomy with three ports is effective & safe modality to treat gall stones. Good training careful case selection, initial learning curve, meticulous technique, well trained team and high standard equipments are of paramount importance to ensure good results.