A CLINICAL STUDY OF POST CHOLECYSTECTOMY COMPLICATIONSLAPAROSCOPIC VERSUS OPEN

Dr Sasanka Nath, Dr Samir Ranjan, Dr Anshu Kumar, Dr Shubhrojyoti Roy, Dr Suman Das

Abstract


Introduction:

With introduction of laparoscopic cholecystectomy the incidence of the post cholecystectomy bile duct injury has increased. In this study we reviewed post cholecystectomy complications following open and laparoscopic cholecystectomy on the following complications: 1.Post cholecystectomy biliary stricture and external biliary fistula.2. Post cholecystectomy retained stone.3.Post cholecystectomy wound infection.

Material and methods: A total of 534 cholecystectomy were studied during this period. Among this, 210 cases were open cholecystectomy and 324 cases undergone laparoscopic cholecystectomy. Incidence of Post cholecystectomy biliary stricture and external biliary fistula, retained stone and wound infection was studied.

Results: Total 4 cases of retained stone have been documented. The incidence of wound infection in open cholecystectomy was 3.8% and in laparoscopic cholecystectomy was 0.3%. 3 cases of bile duct injury cases were noted.

Conclusion: Incidence of bile duct injury was less in Open cholecystectomy as compared to Laparoscopic cholecystectomy. Postoperative wound infection and postoperative hospital stay following laparoscopic surgery is very less as compare to the open procedure.


Keywords


Retained stone, Bile duct injury, Wound infection, Laparoscopic cholecystectomy, Open cholecystectomy.

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References


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