Complications of laparoscopic cholecystectomy : Addington experience.
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Date
2014
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Abstract
Background
Laparoscopic cholecystectomy is a common surgical procedure performed for complicated gallstones. The timing of cholecystectomy is controversial with a trend toward early cholecystectomy in patients with acute cholecystitis. This study examined the presentation, timing of cholecystectomy and outcomes in a resource constrained environment.
Methods
A retrospective analysis of laparoscopic cholecystectomies performed from January 2010 to June 2011. The mode of presentation, ERCP (endoscopic retrograde cholangiopancreotogram) rate, and timing of cholecystectomy, complications and morbidity were analysed.
Results
One hundred and sixty seven patients were evaluated. The mean age was 44(17-78) years and 93% were female and 7% male. There were 44%, 24%, 21% and 14% who presented with biliary colic, pancreatitis, acute cholecystitis and jaundice respectively. They had laparoscopic cholecystectomies after a mean 34(4-90) days and 9(5.4%) patients required conversion to an open cholecystectomy. Complications occurred in 16.2% and bile duct injuries and bile leaks in 0.6% and 1.6% respectively. One patient died.
Conclusions
Most patients had delayed laparoscopic cholecystectomy. There was no difference in outcomes for the different presentations and the complications are similar to other reports in the literature.
Description
Master of Medical Sciences in General Surgery. University of KwaZulu-Natal, Medical School 2014.
Keywords
Addington Hospital., Laparoscopic surgery -- Complications -- South Africa -- KwaZulu-Natal., Cholecystectomy -- Complications -- South Africa -- KwaZulu-Natal., Theses -- General surgery.