Sheikh Atiq-ur Rehman, Muhammad Ishaq Khan, Shahid Hussain, Muhammad Armughan, Umair Masood, Safdar Ali.
Laparoscopic Cholecystectomy in cases of acute cholecystitis: an experience in Bahawal Victoria Hospital, Bahawalpur.
Pak J Surg Jan ;37(1):20-5.

Objective: The aim of this study was to assess the safety of laparoscopic cholecystectomy surgery in cases of acute cholecystitis performed in Bahawal Victoria Hospital, Bahawalpur. Study design: Prospective clinical practice audit. Setting and duration: Surgical department, Bahawal Victoria Hospital, Bahawalpur, from 1st August 2018 to 31st October 2019. Material and Methods: 130 patients presenting with signs and symptoms suggestive of acute or acute on chronic cholecystitis of any age group and of both gender undergoing laparoscopic cholecystectomy were included. All the data was recorded on a standardized proforma. Bias and confounders in the study were controlled by strictly following the exclusion criteria. The data collected included patient bio-data, operative findings, operative time, and conversion rate, length of hospital stay, wound infection or intra-abdominal infection and mortality. Results: 130 patients underwent laparoscopic cholecystectomy during the study period. The mean age of all the patients undergoing laparoscopic cholecystectomy was 40+-13 years. Females were 81.5% while males were 18.5%. The overall rate of conversion from laparoscopic to open cholecystectomy was 2.3% due to dense adhesions, difficult anatomy & bleeding while doing dissection of Calot`s triangle. Gall bladder perforation & spillage of gall stones during the laparoscopic cholecystectomy occurred in 13.84% cases. 95 (73%) patients have not developed early or late post-operative complications. Umbilical port site infection was observed in 26 (20%) cases. The average operative time was 46+-9 minutes. 90% of the patients were discharged 48 hours after the surgery. No mortality was observed during the study period. Conclusion: Laparoscopic cholecystectomy is a safe and effective procedure, in the hands of experienced laparoscopic surgeon, in most of the patients with less morbidity and mortality.

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