Background: Laparoscopic cholecystectomy has almost replaced the open cholecystectomy in patients in which removal of gallbladder is required.
Objective:Toassesstheclinical out-come of laparoscopic Cholecystectomy for management of acute cholecystitis and toevaluate its safety and frequency of complications.
StudyDesign: Prospective observational study
Study Setting: Liaquat University Hospital and Private Medical setup. Methodology:All patients had routine investigations, Liver function tests and ultrasound abdomen. The patients who underwent laparoscopic cholecystectomy were included in this study. The procedure was carried out by standard four port technique. Clinical examination, investigations, postoperative complications were recorded on proforma and results were drawn.
Results:Total study population was 63 patients with female preponderance and male to female ratioof 1:3.2 Mean age was 44.21 years ± 13.43. Main per-operative complications observed were spilled stones 7.93% and hemorrhage in 6.34% cases, bile duct injury in 4.76% cases and gallbladder perforation in 4.76% patients. Post-operative complication included wound infection in 9.52%, Ilues and post-cholecystectomy syndrome in 6.34%, bile leakage in 4.76% and CBD stricture in 1.5% cases.
Conclusion:Laparoscopic earlycholecystectomyis reliable and safe modality cost effective, and timely surgery with modern conception in the management of acute cholecystitis, because of accelerated recovery, negligible wound infection or related complication, and less postoperative pain