Open AccessOUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY IN DIFFERENT GRADES OF GALL BLADDER INFLAMMATION A TERTIARY CARE CENTRE EXPERIENCE
Author(s) -
Amir Iqbal Ali,
Mukarram Hussain Syed,
Taimoor Ashraf Khan,
Farheen Aslam,
Gufran Ahmad,
Ali Akbar
Publication year - 2021
Publication title -
pakistan armed forces medical journal
Language(s) - English
Resource type - Journals
eISSN - 2411-8842
pISSN - 0030-9648
DOI - 10.51253/pafmj.v71i4.6173
Subject(s) - medicine , gall , laparoscopic cholecystectomy , tertiary care , cholecystectomy , observational study , gold standard (test) , bladder stones , surgery , general surgery , anesthesiology , anesthesia , urinary system , botany , biology
Objective: To find the outcomes of laparoscopic cholecystectomy in gall bladders with all grades peri-operative inflammation.
Study Design: Prospective observational study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi, from Nov 2018 to Aug 2019.
Methodology: All patients with symptomatic gall bladder disease who underwent laparoscopic cholecystectomy (emergency/elective procedure) and American Anesthesiology Society (ASA) Score 1 or 2 were included in the study.
Results: A total of 330 patients with a mean ± SD age of 48.01 ± 14.13 years underwent laparoscopic cholecystectomy. Out of 330 patients, 129 (39.1%) had acute inflammation of gall bladder while 201 (69.9%) cases were operated electively. The rate of conversion and complications were somehow lesser in both categories as the overall conversion rate was 15 (4.5%).
Conclusion: Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stones. Moreover, it is safe option in acute and chronic inflammation of Gall bladder if performed by a experienced laparoscopic surgeon.