Muhammad Shamim, Mir Muhammad Dahri, Amjad Siraj Memon.
Complications of Laparoscopic Cholecystectomy.
Pak J Surg Jan ;22(2):70-7.

Objective: To assess the complications of Laparoscopic Cholecystectomy in our setting. Design & Duration: A prospective observational study from Nov. 1997 to Oct. 2004. Setting: Surgical Unit I, Civil Hospital, Karachi. Patients: All patients who underwent Laparoscopic Cholecystectomy for gall stone disease between Nov. 1997 and Oct. 1999 were included in the study, whereas cases with acute cholecystitis, bile duct calculi, obstructive jaundice, cholangitis, acute pancreatitis, portal hypertension, gall bladder malignancy, sepsis, and severe cardiopul-monary or other medical diseases were excluded from the study. Methodology: The data of all the patients who underwent Laparoscopic Cholecystectomy for gall stone disease was entered on a standardized proforma and analyzed for age, sex, symptomatology, examination findings, investigations, operative findings, post-operative complication and the outcome. The patients were followed-up for five years i.e. the last patient operated in Oct. 1999 was followed-up till Oct. 2004. Results: Amongst the 160 patients that were included, there were 138 females and 22 males, with ages ranging from 17-82 years. Laparoscopic cholecystectomy was successfully completed in 144 (90%) cases with a conversion rate of 10%. Major complications were seen in eight (5%) patients including common bile duct (CBD) injury in three and cystic duct injury, bleeding from gall bladder bed, duodenal injury, colonic injury and retained CBD stone in one case each.There was no mortality in this series. Conclusion: Laparoscopic Cholecystectomy is a safe procedure with minimal complications.

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