EARLY COMPLICATIONS FOLLOWOING LAPAROSCOPIC CHOLECYSTECTOMY IN BASRAH GENERAL HOSPITAL
AbstractBackground: Gall stone disease is one of the commonly encountered diseases among the general population. Laparoscopic cholecystectomy has been replaced open surgery and it is now considered the "golden standard". Numerous complications might be encountered. Objectives: To assess and evaluate the specific early postoperative complications and its management and to assess the factors that might influence the development of such complication. Patients and methods: A prospective consecutive observational study was conducted in Basrah General Teaching Hospital from January 2011 to December 2011. All adult patients with symptomatic gall stone were included in this study. The entire demographic, preoperative, operative and postoperative patient's data were collected and evaluated. Results: A 546 patients were underwent laparoscopic cholecystectomy during the study period, 454(83.2%) were female and 92(16.8%) were males. The mean age were 40 years+/- 13.7. Gall bladder perforation with bile leak(with or without gall stone spillage) was the commonest intraoperative complication that occurred in 49(8.97%) patients. Intraoperative bleeding reported in 26(4.76%) patients. Intraoperative bile leak reported in 2(0.36%) patients. The conversion rate was 4.76% (26 patients).The commonest postoperative complication was wound related complication, which was reported in 13 (2.38%) patients. Using logistic regression analysis, we found that the age < 60years, male sex , acute gall bladder status, operation time < 60 min and usage of drain were influenced the development of intraoperative complication on the other hand all the factors failed to affect the development of postoperative complication.
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