LAPAROSCOPIC CHOLECYSTECTOMY: AN EARLY EXPERIENCE AT AYUB TEACHING HOSPITAL ABBOTTABAD

Authors

  • Tariq Saeed Mufti
  • Sajjad Ahmad
  • Danish Naveed
  • Muhammad Akbar
  • Arshad Zafar

Abstract

Background: Laparoscopic Cholecystectomy first introduced in 1987, is becoming more and
more popular and now it has become gold standard in symptomatic gallstone disease. The current
descriptive study is carried out in Department of General Surgery, Ayub Teaching hospital,
Abbottabad to evaluate the result of Laparoscopic Cholecystectomy in symptomatic gallstones
disease in our set up with special emphasis on complication rate, morbidity and mortality.
Methods: The data of all patients who underwent Laparoscopic Cholecystectomy form January to
December 2007 was entered in standardized proforma and analysed on SPSS 10. Results: Out of
60 patients, 51 (85%) were female and 9 (15%) were males; the age range from 17 to 65 years
mean age being 40.30 years, majority were in age 30-40 years group. Two (3.3%) patients had
bile leak, 1 (1.3%) patient developed port site wound infection 1 (1.3%) patient developed
collection in pouch of Morrison and in 1 (1.3%) patient stone were recovered from the epigastric
port site wound. There was no bile duct or colonic injuries. The conversion rate was 5%. There
was no mortality. Conclusion: Laparoscopic cholecystectomy is a safe and effective treatment for
gall stone disease and is up to the accepted standard in our set up as compared to national and
international data.
Key Words; Laparoscopic Cholecystectomy, morbidity, mortality.

References

Raza M, Wasty WH, Habib L, Farhat J, Saria MS, Sarwar M.

An audit of Cholecystectomy. Pak J Surg 2006;23(2):100-3.

Schirmer BD, Winters XL, Edlich RF. Cholelethiasis and

cholecystitis. J Longterm Eff Med Implants.2005;15( 3):329-38.

J Ayub Med Coll Abbottabad 2007;19(4)

Alam SN, Rehman S, Raza SM, Manzir SM. Audit of

General Surgical Unit: Need for self evaluation. Pak J Surg

;23(2):141-4.

Jawaid M, Masood Z, Iqbal SA, Sultan T. The pattern of

diseases in a Surgical Unit at tertiary care public hospital at

Karachi. Pak J Med Sci 2004;20(4):311-4.

Gadaor TR, Talamzii MA. Traditional vs Laparoscopic

cholecystectomy. Am J Surg.1999;161:336-8.

Cuschieri A. Laparoscopic cholecystectomy. J R Coll Surg

Edinb.1999;44:187-92.

Ji W, Li LT, Li JS. Role of laparoscopic subtotal

cholecystectomy in the treatment of complicated

cholecystitis. Hepatobilpancreatic Dis Int.2006;5(4):584-9.

Saeed T, Zarin M, Mahmud Aurangzeb, Aziz Wazir, Roohul

Muqeem. Comparative study of Laparoscopic versus open

Cholecysyectomy. Pak J Surg Jun 2007;23(2):96-9.

Bhopal FG, Rai MA, Iqbal MA. A comparative study of

morbidity in laparoscopic and open cholecystectomy. J Surg

Pak. 1998;3(3):2-7.

Khan S, Zakiuddin G Oonwala. An audit of Laparoscopic

Cholecystectomy. Pak J Surg Jun 2007;23(2):100-3.

Mazhar Iqbal, Irfan Sattar, Khalid Rasheed, Naqeebullah

Khan, Asadullah Khan. Complications of Laparoscopic

Cholecystectomy: A Learning Curve. J Surg Pak Dec

;11(4):170-1.

Purkayastha S, Tilney HS, Georgiou P, Athanasiou T, Tekkis

PP, Darzi AW. Laparoscopic cholecystectomy versus

mini-laparotomy cholecystectomy: a meta-analysis of

randomised control trials. Surg Endosc.

;Aug;21(8):1294-300.

Tarcoveanu E, Nicculesce D, Georgescu S, Bradea C, Epure

O. Conversion in Laparoscopic cholecystectomy. Chirugia.

;100(5):437-44.

Ishiazaki Y, Miwa K, Yoshimoto J, Conversion of

laparoscopic to open cholecystectomy between 1993 and

Br J Surg 2006;93(8):987-91.

Iqbal J, Ahmed B, Iqbal Q. Laparoscopic cholecystectomy vs

open cholecystectomy, morbidity comparison. The

Professional 2002;9(3):226-34.

Abbassi SA, Azami R Haleem A. An audit of Laparoscopic

cholecystectomy performed at PNS Shifa. Pak Armed Forces

Med J 2003;53(1):51-8.

Diziel DJ, Milikan KW, Economo SG. Complications of

Laparoscopic cholecystectomy, a national survey of 4292

hospitals and an analysis of 77604 cases. Am J Surg

;165:9-14.

Roviaro GC, Macioco M, Rebuffat C, Varoli F, Vergani V,

Rabughino G, et al. Complications following

cholecystectomy. J Roy Coll Surg Edinb 1997;42:324-8.

Jaffary SA, Shamim MS, Raza SJ, Dastagir A. instrument

failure; a preventable cause of conversion in laparoscopic

cholecystectomy. Pak J Surg 2006;23(2):92-5.

Kama NA, Doganay M, Dolapci M, Reis E, Atli M, Kologlu

M. risk factors resulting in conversion of laparoscopic

cholecystectomy to open surgery. Surg Endosc 2001

Sept;15(9):965-8.

Shamim M, Dhari MM, Memon AS. Complications of

Laparoscopic cholecystectomy. Pak J Surg 2006;22(2):70-5.

Cheema MA, Zahid MA, An experience of laparoscopic

cholecystectomy at Lahore General Hospital. Biomedica

;17:32-6.

Elder S, Qunin J, Chourih, Sabo E, Matter I, Nashe E, Schein

M. Safety of laparoscopic cholecystectomy in a teaching

services: A prospective trial. Surg Lap Endosc

;6(3):218-20.

Lim SH, Saleh I, Poh BK. Laparoscopic Cholecystectomy: an

audit of training programme. Aust NZ J Surg

;75(4):231-3.

Arain GM, Hassan A, Randhawa MH, Malik SA.

Laparoscopic Cholecystectomy and its complications: a study

of 1100 cases. Pak J Gastroentrol 1998;12(1-2):29-35.

Downloads

How to Cite

Mufti, T. S., Ahmad, S., Naveed, D., Akbar, M., & Zafar, A. (2007). LAPAROSCOPIC CHOLECYSTECTOMY: AN EARLY EXPERIENCE AT AYUB TEACHING HOSPITAL ABBOTTABAD. Journal of Ayub Medical College Abbottabad, 19(4), 42–44. Retrieved from https://www.jamc.ayubmed.edu.pk/jamc/index.php/jamc/article/view/5057

Most read articles by the same author(s)

<< < 1 2 3 4 > >>