Bile duct injuries; frequency during cholecystectomy procedures either open or laparoscopic

ABSTRACT

To find out frequency of bile duct injuries during cholecystectomy procedures either open or laparoscopic.Prospective observational study. This study was conducted at Surgical department, Liaquat University Hospital Jamshoro and Dow International Hospital Karachi, from July 2012 to December 2013. This study consisted of hundred patients. Patients were divided in two groups. Group A for open cholecystectomy [OC] comprising of 50 patients who underwent elective open cholecystectomy. Group B for Laparoscopic cholecystectomy [LC] comprising of 50 patients who underwent elective Laparoscopic cholecystectomy. Inclusion criteria were all patients diagnosed case of gallstones on the basis of ultrasound abdomen, any age and both gender. Exclusion criteria included not willing for surgery, General anesthesia problem, pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructive jaundice. Out of 100 cases of gallstone were operated for either laparoscopic / open cholecystectmy. In open cholecystectomy group 20[40%] were male and 30[60%] female. Ratio male female ratio of 11.5. In laparoscopic cholecystectomy group 11[22%] were male and 39[78%] female with male female ratio of 13.5. There was wide variation of age ranging from a minimum of 10 year to 70 year in both group. The mean age was 41.28+12.30 years for OC group and 38.44+13.50 years for LC group [p 0.02]. Common bile duct injury were occurred 2[4%] patients in laparoscopic cholecystectomy group while 3[6%] patients observed in open cholecystectomy group. We conclude that found bile duct injury 2[4%] patients in laparoscopic cholecystectomy group while 3[6%] patients observed in open cholecystectomy group