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TITLE:

INCIDENCE OF BILE LEAKAGE AND SPILLED GALLSTONES IN LAPAROSCOPIC CHOLECYSTECTOMY

AUTHORS:

Dr Muhammad Sanaullah, Dr Saadia Qureshi, Dr Junaid-ur-Rehman

ABSTRACT:

Purpose: Laparoscopic cholecystectomy is considered the preferred treatment for symptomatic gallstones disease worldwide. Two well-known complications of the procedure are bile duct leakage and spilled gallstones. In our environment to determine the frequency of bile leakage and spilled gallstones during laparoscopic cholecystectomy. Study design: A prospective descriptive study. Place and duration: In the Surgical Unit II of Holy Family Hospital Rawalpindi for one year duration from January 20119 to January 2020. Methodology: Patients with gallstones admitted from the OPD. After obtaining written and informed consent, patients were enrolled for examination. All relevant investigations have been carried out. Fitness for anesthesia was assessed using the ASA scoring system. Patients underwent laparoscopic cholecystectomy. The data was saved in a previously designed form. Results: Laparoscopic cholecystectomy was performed in 142 patients. The average age was 39.21 years ± 11.98 years. Gallstones exudation was the main complication that occurred in 15 (10.6%) cases where the maximum number of stones was recovered during surgery. Spillage of gallstones were more common in women than in men. A total of 5 (3.52%) patients had bile leakage. The average length of hospital stay was 1.94 days ± 0.62. There was no mortality in our study. Conclusion: Laparoscopic cholecystectomy is a safe and effective procedure in our environment and gives better results in the hands of experts.

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