January-March 2018

Comparison of Common BileDuct injury, Biliary peritonitis,Jaundice and wound infection as complication in cases of Open and Laparoscopic Cholecystectomies

Devendra R Chaudhari1*, Jignesh C Patel2, Jayesh V Parikh3

1,2(MBBS, MS, FMAS IN SURGERY) Assistant professor in surgery, Government Medical College, Surat

3(MBBS, MS General Surgery) Associate professor in Surgery, B .J. Medical College, Ahmadabad


BACKGROUND: The purpose of this study was to observe, identify and discuss the comparision of complications of open and laparoscopic cholecystectomies which includes Common Bile Duct injury, Biliary peritonitis ,jaundice and wound infection in patients who had undergone cholecystectomies during   June2008 to November 2010 at B.J.Medical College Ahmedabad. METHODS & MATERIAL: This study has included the patients who has undergone cholecystectomy at other hospital and presented to us with complication. Complications were recorded in the form of intra operative, post operative also we have studied the possible cause of complication and its management and outcome of the management. This has helped us to compare the advantages and disadvantages of one procedure over the other.All demographic profiles were recorded prospectively and possible complications of both the operative procedures were recorded.  Patients who presented with complication were investigated in the form of Routine blood investigations, CTscan, ultrasound and liver profiles and ERCP. RESULTS: In our study total number of patient’s undergone cholecystectomy were 624. Out of which 302 patients’s undergone open cholecystectomy and 322 were initiated for laparoscopic cholecystectomy out of which 16 were converted into open cholecystectomy due to abnormal anatomy or unclear Calot's triangle due to adhesions.there is no significant difference in case of intraoperative common bile duct injury (p=>0.05) and also there is no significant difference in cases of peritonitis (p=>0.05) and jaundice (p=>0.05) but there is significant difference in cases of wound infection (p=<0.05,p=0.008). CONCLUSION: It can be said that laparoscopic cholecystectomy has definite advantage of less chances of wound infection and its morbidity resulting from it. In cases of other complications it is comparable because of increased expertise in the field of laparoscopy. But however well designed studies with large sample size is required to address the issue

Keywords: common bile duct,biliary peritonitis, wound infection,endoscopic retrograde cholangiopancreatography, cholecystectomy

[Full Text Article]  
Twitter Links