Extra Biliary Complications in Laparoscopic Cholecystectomy

Abstract

ABSTRACT
Background: Laparoscopic cholecystectomy is the procedure of choice in the treatment
of symptomatic gall bladder disease. Some of the associated complications are rare, but
often serious.
Objective: To determine the incidence, nature and management of extra biliary
complications of laparoscopic cholecystectomy.
Methods: Between January 2004 to January 2012, 1500 patients with symptomatic gall
stone disease who were admitted to the surgical ward at Al Mosul General Hospital were
subjected to laparoscopic cholecystectomy. Data was collected and analyzed.
Results: The incidence of gall stone disease was more common in females. It was found
to be more common in the age female group of 21-60 years. Predominant risk factors
being multipara and obesity. Majority of the patients presented with repeated attack of
biliary colic. The complications during surgery was found to be access related
complication includes bleeding during port insertion and procedure related complication
was spillage of bile and gall stones in to peritoneal cavity. The post-operative
complications noted were mainly wound infections and port site hernia.
Conclusion: Laparoscopic cholecystectomy is a safe procedure, although it is associated
with some serious complication. Many extra-biliary complications encountered in
laparoscopic cholecystectomy and early identification and management of these
complications will minimize a potentially devastating outcome.