audit of laparoscopic cholecystectomy

ABSTRACT

To evaluate the outcome of Laparoscopic Cholecystectomy in Gall stone disease, critically analyzing the complication rate, morbidity and mortality rate. It is retrospective study from June 1997 to June 2006. Hamdard University Hospital, Saifee Hospital, Burhani Hospital and Remedial Hospital, Karachi. All patients [>12 years] with cholelithiasis were included in this study. Patients with common bile duct dilation [>8mm] or stones, or gall bladder mass or jaundice, and those declared unfit for anaesthesia were excluded. The detailed data of the cases was compiled and analyzed. Out of the total of 1345 patients operated during the study period, 1234 [91.75%] were females and 111 [8.25%] males; their ages ranges from 12 to 89 years, majority were in the age bracket of 30-50 years. Our conversion rate was 6.4%. Nine [0.67%] patients developed bleeding from the port site, 30 [2.23%] port site infection, 43 [3.20%] umbilical port hernia, two bile ducty injury and one colonic injury. There was no mortality in this series. Laparoscopic Cholecystectomy is a safe and effective treatment for Cholelithiasis