OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY IN DIFFERENT GRADES OF GALL BLADDER INFLAMMATION A TERTIARY CARE CENTRE EXPERIENCE

Amir Ali; Mukarram Hussain Syed; Taimoor Ashraf Khan; Farheen Aslam; Gufran Ahmad; Afnan Akbar

doi:10.51253/pafmj.v71i4.6173

Authors

Amir Ali Combined Military Hospital Chhor/National University of Medical Sciences (NUMS) Pakistan
Mukarram Hussain Syed Combined Military Hospital Peshawar/National University of Medical Sciences (NUMS) Pakistan
Taimoor Ashraf Khan Frontier Corps, Balouchistan Pakistan
Farheen Aslam Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Gufran Ahmad Frontier Corps, Khyber Pakhtunkhwa Pakistan
Afnan Akbar Frontier Corps, Balouchistan Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i4.6173

Keywords:

Cholecystectomy, Inflammation, Grades, Laparoscopy

Abstract

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.