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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
Extra Biliary Complications of Laparoscopic Cholecystectomy: A Retrospective Analysis in a Tertiary Care Hospital, Rajshahi, Bangladesh
Md. Sofi Ullah, Ashrafun Nesa
Published: June 30, 2020 | 109 131
DOI: 10.36347/sjams.2020.v08i06.036
Pages: 1593-1596
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Abstract
Background: Laparoscopic cholecystectomy delivers a safer and effective treatment for the patients with symptomatic gallstones and has become the treatment of choice for many patients. In generally complications that occur with laparoscopic cholecystectomy, including bile duct injury, bile leaks, bleeding, and bowel injury, results in part from patient selection, surgical inexperience, and the technical constraints that are inherent to the minimally invasive approach. We have conducted this study to dig out the extra biliary complications of laparoscopic cholecystectomy. Aim of the study: The aim of this study was to evaluate the extra biliary complications of laparoscopic cholecystectomy. Methods: This was a retrospective analysis of extra-biliary complications and was conducted in the Department of –Surgery, Rajshahi Medical College Hospital, Rajshahi, Bangladesh during the period from January 2019 to December 2019. The study population included all the patients with symptomatic gallstone disease in whom laparoscopic cholecystectomy was performed. The extra-biliary complications were divided into two major categories: (i) Procedure related and (ii) Access related. Result: In this study we found the highest 1.86% participants were with port side bleeding and nearest 0.53% were with retained stones in port (Sepsis),. Then 0.27%, 0.53%, 0.27% and another 0.27% participants were with small bowel laceration sub-cutaneous emphysema, small bowel puncture and ascending colon laceration respectively. On the other hand the highest 2.13% participants were with bleeding through cystic artery and 0.80%, 0.53% 1.60%, 0.27% and 1.86% participants were with sub-capsular liver hematoma, duodenal perforation, bleeding from Gallbladder bed, colon perforation and stones spillage in peritoneal cavity respectively. In post-operative complications, we found pyoperitoneum 2(0.53%) and hemorrhage (Secondary, Reactionary) 4(1.06%). Conclusion: Through this study we observed that major.....