ABSTRACT
To identify factors responsible for serious complications in learning phase of Laparoscopic surgery. Retrospective study of 75 patients undergoing Laparoscopic cholecystectomy. Surgical Units of D.H.Q. and Holy Family Hospital of Rawalpindi Medical College. Seventy five patients of cholelithiasis who had laparoscopic cholecystectomy done. Operative problems, conversion to open cholecystectomy, postoperative complications and hospital stay in patients having laparoscopic surgery. Overall conversion rate was 16% operative complications included one common bile duct injury and one case of duodenaI injury. Postoperative complications were infection of trocar site in 8%and subhepatic collection in 4% cases. Proper selection of patients, two or more experienced surgeons operating together and low threshold for conversion to open procedure reduces the risk of serious complications in the learning phase of laparoscopic surgery