Complications of laparoscopic cholecystectomy: relaparoscopic management

ABSTRACT

Unnecessary laparotomy was done for certain complications alter laparoscopic cholecystectomy [clips coming off cystic duct, bleeding from port site. or gallbladder fossa and subhepatic collections]. These complications can be managed by minimally invasive surgery, so we adopt the policy of relaparoscopy to deal with such complications. Fourteen patients were presented by jaundice, sepsis, pain, abdominal distension, and or persistent bile leak from the drain idler laparoscopic cholecystectomy. Relaparoscopy was done for such patients, one patient [7.1%] had clip obstructing common hepatic duct [CHD], two patients [14.3%] had subhepatic collection, five patients [35.7%] had bile leakage at the drain, three patients [21.4%] had biliary peritonitis at seventh day postoperatively and three patients [21.4%] had bleeding at drain, all the patients were managed laparoscopically except one patient required laparotomy. There was no mortality. Laparoscopy is useful in the management of post- laparoscopic cholecystectomy complications