Abstract Issue

Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Evaluation of Intraoperative Findings Among Patients Undergoing Laparoscopic Cholecystectomy at a Tertiary Care Hospital
Aavishkar Anand, Radha Govind Khandelwal, Ravi Khandal, Neeraj Damor

Background:Laparoscopic cholecystectomy (LC) represents a significant change in the management of gallbladder disease, and it is the most commonly performed operation of the digestive tract. It is considered as the gold standard treatment for cholelithiasis. The present study was conducted for assessing intraoperative findings among patients undergoing laparoscopic cholecystectomy. Materials &Methods:The present study was conducted for assessing intraoperative findings among patients undergoing laparoscopic cholecystectomy. 100 cases for laparoscopic cholecystectomy were taken. During the surgery, after the insertion of first 10-mm-trocar, a general abdominal exploration with a laparoscope was done and initial view of the gall bladder was photographed once the gall bladder was visualized. The operating surgeon then self-graded the ‘initial view’ of gall bladder intra-operatively. Intraoperative findings were recorded separately. All the results were recorded and analyzed using SPSS software. Results:In our study in 37 (37%) cases gall bladder was aspirated, 32 (32%) cases had adhesions to gall bladder, 17 (17%) cases had intraoperative bile spillage, 3 (3%) patients underwent partial cholecystectomy, abnormal anatomy of gall bladder was found in 2 (2%) cases. No cases were converted to open surgery. No cases had intra-operative cholangiogram.In our study titanium clips were used in 97 % of patients for cystic duct and artery clipping. Suture was used in 2 (%) patients, endoloop in one patient, Hem-o-lok in 3 (3%) patients. Out of 100 patients 7 (7%) patients were taken for cholecystectomy after ERCP for Common Bile Duct stones .4 (4%) patients were operated on after treating acute pancreatitis. Conclusion:Knowledge of incidence/ occurrence of various intraoperative findings and events helps surgeons to make necessary preoperative preparations to decrease the morbidity associated with laparoscopic cholecystectomy.

 
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