Per-Operative and Post-Operative Complications of Laparoscopic Cholecystectomy: A Cross-Sectional Study in a Tertiary Care Hospital in Bangladesh

Abstract

Background: Cholecystectomy is now has become a common abdominal surgery which is mostly laparoscopic in developed countries. In USA, almost 90% of cholecystectomies are laparoscopic. For gallstone surgery, laparoscopic cholecystectomy is considered as a "gold standard". Methods: This study was a cross-sectional study which was conducted at Kumudini Women’s Medical College, Mirzapur, Tangail, Bangladesh. The study was conducted in between March 2020- April 2022. The total sample size for this study was 121. Result: Most of the patients 29(24%) were aged between 20-29 years. Most of the patients 102(84%) were female whereas only 19(16%) were male. Most of the patients 61(50.4%) required 15-30 mint, 54(44.6%) required 30-60 mint and 6(5%) required more than 60 patients. 67(55%) patients stayed in the hospital for only 24 hours whereas most of the patients 42(35%) stayed for 2 days and only 12(10%) had to stay more than 2 days. Dense Adhesion was found in 4(3.3%) cases, Uncontrolled Bleeding in 3(2.5%), Fibrotic Gallbladder in 2(1.7%), and huge distended and thick Gallbladder in only 1(0.8%) case. Most common complication Wound infection was seen in 12(9.9%) patients whereas 4(3.3%) had Biliary leakage, 2(1.7%) had bile duct stricture, 2(1.7%) had Post-site Hernia. Conclusion: Laparoscopic cholecystectomy is considered to have the utmost advantages and is also related with less postoperative complications, reduce hospital stay, reduce the overall morbidity and mortality in comparison with open cholecystectomy.