Laparoscopic Cholecystectomy: Experience of 100 Cases

Introduction: Cholelithiasis or gallstone disease is one of the major health problems worldwide. Earlier traditional open cholecystectomy (OC) was the treatment for symptomatic gall stone disease. With the advancing cutting edge technology, laparoscopic cholecystectomy (LC), a minimal access surgery has become a well established modality of treatment. Objective: To study the overall outcome and related experiences of laparoscopic cholecystectomy. Materials and Methods: This descriptive observational study was carried out at Combined Military Hospitals of Jashore, Cumilla and Dhaka from September 2015 to December 2017. A total of 100 patients suffering from symptomatic cholelithiasis were admitted for LC and included in this study. Data were collected in a structured proforma and expressed in mean±SD, frequency and percentage. Results: Patients mean age was 42±7.63 years with ranged 25 to 62 years. Eighty five percent patients were female. Mean operative time was 55±12.37 minutes with ranged 30 to 100 minutes. Mean postoperative hospital stay was 2.5±1.29 days with ranged from 2 to 4 days. No major intra operative and post operative complications encountered except 2 patients needed conversion to OC. Conclusion: LC is a safe minimal access surgical procedure for gallstone disease. An experienced well-trained surgical team with standard surgical technique and early recognition and management of complications encountered are key elements to good surgical outcome. Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 35-38