Muhammad Iftikhar, Irfan-ul Islam Nasir, Zaffar Iqbal, Azizullah, Imtiaz Ahmed Khattak.
Evaluation of complications of laparoscopic cholecystectomies.
J Med Sci Jan ;23(1):14-6.

Objective: To analyze laparoscopic cholecystectomies and its complications. Material and Methods: This study was conducted in Surgical Department of Hayatabad Medical Complex, Peshawar from January 2010 to December 2013. This included all patients who underwent elective laparoscopic cholecystectomies. We evaluated the results in terms of intra and post-operative complications including conversion to open cholecystectomy, morbidity, mortality and re-operation rate. Results: The overall complications were 29%. Intra-operative complications were bleeding in 07%, gallbladder perforation in 4.2%, stone loss in 02%, common bile duct injury in 1.2% and injury to intra-abdominal organs in 0.8% of cases. Regarding postoperative complications there was wound infection in 02%, bile leakage in 2.9%, sub-hepatic collection in 1.2%, residual gall stones in CBD were 1.2%, biliary peritonitis due to leakage in 1.6%, conversion to open cholecystectomy and re-operation were 2.9% and 1.2% respectively. The overall mortality was 0.4%. Conclusion: The overall rate of complications of laparoscopic cholecystectomies in our unit are comparable to that of the international standards.

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