Open AccessA Clinical Study on Laparoscopic Cholecystectomy in a Tertiary Care Teaching Hospital
Author(s) -
Arun Katari,
M Ramu
Publication year - 2021
Publication title -
perspectives in medical research
Language(s) - English
Resource type - Journals
eISSN - 2348-229X
pISSN - 2348-1447
DOI - 10.47799/pimr.0902.04
Subject(s) - medicine , physical examination , surgery , jaundice , abdominal ultrasonography , cholecystectomy , abdomen , abdominal pain , general surgery , ultrasonography
Background: Laparoscopic cholecystectomy is gainingpopularity for the surgical treatment of gallbladder diseases.The technique has advantages of safe surgery, minimalcomplications, lower duration of hospital stay, and early returnto normal activities. We in the current study tried to evaluatethe outcomes of laparoscopic cholecystectomies done in ourtertiary care teaching hospital.Methods: Based on the inclusion and exclusion criteria n=40cases were identified and treated with laparoscopiccholecystectomy. A complete history which included the pasthistory, family history, socioeconomic status, nature ofsymptoms, diet history was obtained. All the patientsunderwent a complete clinical examination. The investigationscarried out were complete blood picture, bleeding time,clotting time, ECG, LFT, KFT, FBS, blood groups, chest x-ray,and Ultrasound scan of the abdomen. All cases were operatedas per the standard procedures.Results: The most common sign recorded in the cases was painin right hypochondrium. Out of n=40 cases, 95% were presentwith pain 5% was without pain. Clinical jaundice was found in10% of cases and tenderness was found on examination in 95%of cases. USG showed the presence of multiple stones was in76% of cases, thickening of the gall bladder was in 80% casesand presence of mass was detected in 8% of cases. The follow-up period was 3 months in which no complications werereported.Conclusion: The study found that most of the cases ofcholelithiasis now occurring across the spectrum of differentages. The diagnosis has now become easy with the presenceof ultrasonography which has sensitivity and specificity. Themotto of safe surgery, low morbidity, and early back to work isbest done with laparoscopic cholecystectomy.