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Experience of Laparoscopic Cholecystectomy at Lumbini Medical College Teaching Hospital

  • Nabin Pokharel Lumbini Medical College
  • Prakash Sapkota Lumbini Medical College
  • Binay Khatri Chhetri Lumbini Medical College
  • Rajan Shakhya Lumbini Medical College
  • Sunil Thapa Lumbini Medical College

Abstract

 


Introduction: The difficult gallbladder is the most common difficult laparoscopy being performed by general
surgeons all over the world and the potential one that places the patient at significant risk. The present study aimed to study all the cases of laparoscopic cholecystectomy conducted in current setup at Lumbini Medical College and Teaching Hospital, to compare the results with the published literature and also analyze the complications and ways to decrease the incidence of conversion to open procedure.


 


Methods: Five hundred twenty five patients age 10-90 years, male:female ratio of 1:3.86 with body weight 45-65 kilogram, who had undergone laparoscopic cholecystectomy for symptomatic cholelithiasis without choledocholithiasis from April 2011 to April 2013 were studied.


 


Results: All the laparoscopic cholecystectomy (LC) were without major complications. Only nineteen out of five hundred twentyfive (3.6%) required conversion to open cholecystectomy (OC). Reasons for conversion included: dense omental or visceral adhesions; two (0.38%), unclear anatomy; 16 (3.04%), common bile duct injury; one (0.19%). There were 20 cases of shrunken gallbladder suspicious of malignancy but didn’t required conversion.


 


Conclusion: Laparoscopic cholecystectomy is the preferred method in our setup even in difficult cases.

How to Cite
POKHAREL, Nabin et al. Experience of Laparoscopic Cholecystectomy at Lumbini Medical College Teaching Hospital. Journal of Lumbini Medical College, [S.l.], v. 1, n. 1, p. 25 - 27, june 2013. ISSN 2542-2618. Available at: <https://jlmc.edu.np/index.php/JLMC/article/view/8>. Date accessed: 26 sep. 2017. doi: https://doi.org/10.22502/jlmc.v1i1.8.

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