DOI: 10.36347/sasjs.2020.v06i02.006

Pages: 46-55

Introduction: Gallbladder disease is a worldwide common surgical problem. Before the advent of the laparoscopic cholecystectomy, open cholecystectomy was the standard modality of treatment for cholelithiasis and symptomatic gallbladder diseases. Objective: To see the accuracy of clinical diagnosis after ultrasonographic evaluation of gallstone and symptomatic gallbladder disease. Materials and Methods: It is a prospective study the Patients admitted in surgery wards from emergency & outpatient department with the diagnosis of gallstone and symptomatic gallbladder disease. Total 100 patients were selected, who were admitted with the diagnosis of gallstone and symptomatic gallbladder diseases undergone laparoscopic cholecystectomy in Dhaka Medical College Hospital & BSMMU, Dhaka, Bangladesh. Patients were selected irrespective of their age, sex, fit for laparoscopic cholecystectomy. Results: This study represents the experiences with 100 patients who are admitted with the clinical and ultrasonographic diagnosis of gallstone and symptomatic gallbladder disease for laparoscopic cholecystectomy. Operation time was from 30-90 minutes with a mean time of 47.4 minutes. Typical clinical presentation was found in most of the cases. 15 (15%) patients presented with epigastric pain of which 12 (12%) patients were misdiagnosed and were treated for duodenal ulcer for years. 1 (1%) patient was diagnosed incidentally during ultrasonography for gynaecological complaints. All the patients in this study undergone ultrasonography of hepatobiliary system and pancreas. Out of 100 cases 93 (93%) cases were found to have stone in gallbladder sonologically, whereas 96 (96%) cases were found to have stone in the gallbladder peroperatively. Ultrasonography detected normal appearance gallbladder with stone in 73 (73%) cases but peroperatively found them in 76 (76%) cases. In 15 (15%) cases sonography revealed fibrosed and contracted gallbladder with stone, whereas 13 (13%) cases were found...