An International Publisher for Academic and Scientific Journals
Author Login 
SAS Journal of Surgery | Volume-11 | Issue-01
Complications in Laparoscopic Cholecystectomy: A Study in a Tertiary Care Hospital in Bangladesh
Dr. Ryhan Islam, Dr. Md. Rabeul Karim, Dr. Md. Sakhawat Hossain, Dr. Abu Taher Mohammad Russell, Dr. Muhammad Moinul Islam, Dr. Md. Golam Rabbani, Dr. Mohammad Salauddin Mia
Published: Jan. 15, 2025 | 40 40
DOI: https://doi.org/10.36347/sasjs.2025.v11i01.010
Pages: 50-53
Downloads
Abstract
Background: Laparoscopic cholecystectomy is the standard procedure for gallbladder diseases, offering reduced postoperative pain, shorter hospital stays, and quicker recovery. However, complications such as bile duct injury, hemorrhage, and infection can occur, particularly in challenging cases. This study aimed to evaluate the complications associated with laparoscopic cholecystectomy in a tertiary care hospital in Bangladesh. Methods: This prospective observational study was conducted at the Mymensingh Medical College, Bangladesh from June 2022 to May 2023. A total of 77 patients with cholecystitis or gall bladder polyp who underwent laparoscopic cholecystectomy were enrolled in this study, purposively. Data were processed, analyzed, and disseminated by using MS Office tools. Results: The participants had a mean age of 46.58 ± 12.81 years, with females comprising 74% of the group. Iatrogenic gallbladder perforation was the most common intraoperative complication (5.2%), followed by spilled gallstones (3.9%) and bleeding from adjacent tissues or the abdominal wall (2.6%). Post-operative complications included wound infection (3.9%), port-site hernia (2.6%), and bile leak (2.6%). Additionally, one patient had a collection in Morrison’s pouch and another experienced post-operative bleeding. Conclusion: Laparoscopic cholecystectomy is a safe and effective treatment for cholecystitis or gallbladder polyps. In 2-5% of cases, complications may occur, including iatrogenic gallbladder perforation, spilled gallstones, or bleeding during surgery, as well as wound infection, port-site hernia, or bile leak post-operatively.