Asif Imran, Tamjeed Gul, Sana Sahar, Mukhtiar Ali.
Laparoscopic Cholecystectomy: an early experience in Mardan Medical Complex.
Pak J Surg Jan ;34(3):200-4.

Objective: the aim of this study was to assess the safety of laparoscopic cholecystectomy surgery performed in Mardan Medical Complex. Study Design: Prospective clinical practice audit. Setting and Duration: Surgical Department, Mardan Medical Complex from March 2017 to February 2018. Methodology: 180 patients presenting with signs and symptoms suggestive of acute or chronic cholecystitis of any age group and of both gender undergoing laparoscopic cholecystectomy were included. All the data was recorded on a standardized performa. Bias and confounders in the study were controlled by strictly following the exclusion criteria. The data collected included patient demographics, operative fi ndings, operative time, conversion rate, length of hospital stay, wound infection and mortality. Results: 180 patients underwent laparoscopic cholecystectomy during the study period. The mean age of all the patients undergoing LC was 41.32±8.97 years ranging from 20-60 years. Females were 92.8% while males were 7.2%. The overall rate of conversion from laparoscopic to open cholecystectomy was 1.1% with dense adhesions making dissection of Calot\'s triangle difficult, the commonest cause. Bleeding was the commonest complication (15.6%). Gall bladder perforation occurred in 25 cases with spilled gall stones in 15(8.3%) cases. Port site infection was observed in 7 (3.9%) cases. No mortality was observed during the study period. The mean operative time was 45.95±4.7 minutes. 90% of the patients were discharged within 48 hours of surgery. Conclusion: Laparoscopic cholecystectomy is a safe and effective procedure in most of the patients with less morbidity and mortality.

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