DOI: 10.36347/sasjs.2021.v07i07.010

Pages: 401-405

Purpose: To study the problems faced during laparoscopic cholecystectomy such as: accessing the peritoneal cavity, creating pneumo-peritoneum, dissecting the gallbladder, extracting the gallbladder and conversion from laparoscopic cholecystectomy to open cholecystectomy. Method: Two hundred consecutive patients of chronic cholecystitis with cholelithiasis, who underwent laparoscopic cholecystectomy at Shree Guru Gobind Singh Tricentenary Medical College, Hospital and Research Institute, from January 2019 - December 2020; were included in this study. Results: A total of 200 patients underwent elective cholecystectomy. Majority of who were females (85%). Out of which, in 41 (20.5%) patients, access to peritoneal cavity was difficult and in 34.5% patients; difficulty occurred during gallbladder dissection. In the present study conversion rate from laparoscopic to open cholecystectomy was 4% and mortality was 0%. Conclusion: It can be concluded from our study that male gender, BMI >30kg/m2, previous abdominal surgery, contracted or distended gallbladder and gallbladder with wall thickness >3mm are the preoperative factors that can predict the difficulty in performing laparoscopic cholecystectomy.