Saleem Khan, Zakiuddin G Oonwala.
An audit of Laparoscopic Cholecystectomy.
Pak J Surg Jan ;23(2):100-3.

Objective: To evaluate the outcome of Laparoscopic Cholecystectomy in Gall stone disease, critically analyzing the complication rate, morbidity and mortality rate. Design & Duration: It is a retrospective study from June 1997 to June 2006. Setting: Hamdard University Hospital, Saifee Hospital, Burhani Hospital and Remedial Hospital, Karachi. Patients: All patients (>12 years) with cholelithiasis were included in this study. Patients with common bile duct dilatation (>8mm) or stones, or gall bladder mass or jaundice, and those declared unfit for anaesthesia were excluded. Methodology: The detailed data of all the cases was compiled and analyzed. Results: Out of the total of 1345 patients operated during the study period, 1234 (91.75%) were females and 111 (8.25%) males; their ages ranged 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. Conclusion: Laparoscopic Cholecystectomy is a safe and effective treatment for Cholelithiasis.

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