experience of laparoscopic cholecystectomy

ABSTRACT

To document our experience of laparoscopic cholecysectomy. A case series. This study was carried out at private sector medical complex at Larkana. Duration From 1st December 2002 to 31st May 2004 for a period of 18 months. Two hundred consecutive cases, suffering from symptomatic cholelithiasis, were admitted for laparoscopic cholecystectomy. Their case record was retrieved and analyzed. There was female preponderance with male to female ratio of 14.5. Mean age was 48 years. Majority of patients suffered from chronic cholecystitis. The conversion rate was 5% due to acute cholecystitis with friable adhesions, elderly patients with phlegmon, obscure anatomy and stones in CBD not detected on ultrasound. The mean hospital stay was 36 hows. No mortality occured in this series. Laparoscopic cholecystectomy is an effective and safe modality of treatment for symptomatic gall stones in experienced h and s. This technique was found to have distinct advantages such as shorter hospital stay, lesser postoperative pain and good cosmetic results: