Open cholecystectomy: our experience

ABSTRACT

Different indications of cholecystectomy and outcome of open cholecystectomy were analyzed in a retrospective study at Department of Surgery, Baqai Medical University Hospital, Nazimabad, Karachi. A consecutive series of 250 patients with gallstone had open cholecystectomy, from May 2007 to June 2012, were analyzed. The criterion for diagnosis was based on history, clinical findings, ultrasound and CT scan. A total of 250 surgically treated patients of symptomatic gallstone disease were included who underwent open cholecystectomy. Age ranges were from 20 years to 80 years. Sex distribution showed female preponderance. Sixty five patients [26%] had acute cholycystitis, 18 [7.2%] had empayma gall bladder, 8 [3.2%] patients had mucocele and 15 [6%] patients had gall stone pancreatitis. Eight [3.2%] patients each had contracted gallbladder and deranged liver functions without common bile duct stones, respectively. Seventy [28%] patients were diabetics and 48 [19.2%] had hypertension. Twenty eight [11.2%] were known cases of ischemic heart disease, whereas 40 [16%] had both diabetes mellitus and hypertension. In 145 [58%] patients elective cholecystectomy and in 80 [32%] patients interval cholecystectomy was performed. In this series 18 [7.2%] patients underwent urgent cholecystectomy while tube cholecystostmy was performed in two [0.8%] patients. In 23 [9.2%] patients partial cholecystectomy was done. Eight [3.2%] patients under went common bile duct exploration during cholecystectomy. Out of total 250 patients, 12 [4.8%] developed wound infection, two [8%] patients had incisional hernia and one [0.4%] patient had common bile duct injury which was managed by endoscopic retrograde cholangiopancreatography. It is concluded that open cholecystectomy is still a standard procedure and have definite indications for surgical education and training of surgical resident