DOI: 10.36347/sasjs

Pages: 244-247

The objective of this study is to find out the incidence extra-biliary complications during laparoscopic cholecystectomy and their management. This study is a prospective analysis of extra-biliary complications which occurred during laparoscopic cholecystectomy done in the dept. of surgery in JAH, Gwalior. The study population included patients with Gall stones in whom laparoscopic cholecystectomy was performed. The extra-biliary complications were divided into two distinct categories: (i) Procedure related and (ii) Access related. The proportion of Extrabiliary complications during LC was 18.18%, biliary complications was 2.27% and conversion rate to open procedure was 12.73%. Among access related complications, port site bleeding occurred in 3 patients (1.36%), subcutaneous emphysema in 1 patient (0.45%), port site sepsis in 4 patients (1.81%- most common) while no patient had small bowel laceration or ascending colon laceration while among procedure related complications visceral injuries occurred in 6 patients (2.72%) all of which demanded a conversion, vascular injuries that include bleeding through gall bladder bed and cystic artery in 11 patients (5%) and gall stone or biliary spillage in 21 patients (9.54%) most of which were managed conservatively. Extra-biliary complications are much more frequent than biliary complications and can be life-threatening. An early diagnosis and high degree of suspicion with good clinical judgment is critical to avoid a significant morbidity and mortality in these patients.