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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

The assessment of laparoscopic cholecystectomy using low-pressure pneumoperitoneum
Dr. Tushar Mohan, Dr. Mohd Raza, Dr. Manzoor Ahmed

Aim: Assessment of laparoscopic cholecystectomy using low-pressure pneumoperitoneum. Material and method: This research comprised a total of 70 patients who were hospitalised for elective laparoscopic cholecystectomy. The research excluded patients who had open cholecystectomy, those with acute inflammation or any other complications related to gallstone disease, and those with choledocholithiasis. Postoperative shoulder tip pain was evaluated at 6, 12, and 24 hours following the procedure using the Visual Analogue Scale of Pain (V.A.S). A pain scale, ranging from 0 (no pain) to 10 (agonising pain), was used to enable patients to indicate the severity of their shoulder tip discomfort by selecting a position on the scale that most accurately reflected their current condition. Patients were cognizant that the scale was used to assess the existence and severity of widespread postoperative pain. Results: The mean operative time was 35.11±3.58 minutes. Pain scores for postoperative shoulder tip pain, as analysed by visual analogue scale, were 5.01±0.69, 2.55±0.19 and 0.29±0.01 at 6, 12 and 24 hours respectively. Oral feeds were started on 0th postoperative day in 91.43% of the patients. The mean postoperative stay was 1.44±0.11 days. No major complications were observed on mean 6 months follow-up. Conclusion: Low-pressure pneumoperitoneum during laparoscopic cholecystectomy is safe in skilled hands with fewer frequency of early postoperative problems notably shoulder tip discomfort.

 
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