Background: laparoscopic cholecystectomy has revolutionized the surgery for
symptomatic cholelithiasis since its introduction in 1987, it became the gold standard
procedure for gall bladder disease, this clinical analysis study was carried in Al-
Husain general hospital- Karbala.
Objective: our study aims to evaluate the results of laparoscopic cholecystectomy in
symptomatic cholelithiasis in our setting.
Patients and Methods: a total of 145 patients with symptomatic gall stones were
subjected to laparoscopic cholecystectomy during the period June2005-
November2009, cases with common bile duct stone, obstructive jaundice, abnormal
liver function tests, high risk cardiovascular cases were excluded from the study.
All cases were analyzed & compared with the results in the international literatures
Results: out of 145 cases operated on 137(94%) were females, 8(6%) were male,
age range was 20year-65year,cases with past history of jaundice were 23(16%),cases
with history of previous abdominal surgery were 46(32%),cases with iatrogenic
perforation of the gall bladder were 23(16%),cases who needed conversion were
5(3%),hospital stay was 1-2 days in 70% of the cases.
Conclusion: laparoscopic cholecystectomy is the gold standard procedure for
symptomatic cholelithiasis provided the surgeon performance started through a
standard learning curve principles. |