Post operative effect of bile spillage in laparoscopic cholecystectomy

Abstract

Background: Most common disease of gall bladder and biliary tree is cholelithiasis. Laparoscopic cholecystectomy is now gold standard treatment. Gall bladder contents can be spilled during both in open and laparoscopic cholecystectomy, but these contents are eliminated usually through direct removal, copious irrigation and mopping in open operations. Right shoulder tip pain is a common short term complaint. Aims and objectives were to study right shoulder tip pain, its duration and severity in post-operative period of patients having spillage versus non spillage of gall bladder contents. Method: It is a hospital based prospective comparative study was conducted in KPC medical college and hospital, Jadavpur, Kolkata. Time frame was April 2021- July 2022. Sample size was 100. Result: Our study showed that, less number of patients had right shoulder tip pain (in numerical rating scale) and requirement of rescue analgesia in case compared to control group. Conclusions: Right shoulder-tip pain, which may occur post-laparoscopic cholecystectomy, is variable in duration, severity and character and is more in spillage group.