Arunbabu, NR (2020) Comprehensive Analysis of Complications and Outcome of Laparoscopic Cholecystectomy in K.A.P.V. Government Medical College & Hospital. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirappalli.
|
Text
220113420arun_babu.pdf Download (2MB) | Preview |
Abstract
INTRODUCTION: Gall stone disease is common in India, that too affecting mostly middle age group men and women. The classical open cholecystectomy and the minimally invasive laparoscopic cholecystectomy are two alternative operations for removal of the gallbladder in recent era. In my study I choose this topic as we post graduates and young surgeons of Government K.A.P.V Medical College who are in laparoscopic learning curve, under the guidance of professors and associate professors doing laparoscopic cholecystectomy and proposed for a comprehensive analysis of complications and outcome of Laparoscopic cholecystectomy and comparing the results with existing study. AIM OF THE STUDY: Our aim of the study is to analyse the complications and outcome of laparoscopic cholecystectomy in our teaching institution. Parameters discussed here are : 1. Technique of surgery, 2. Duration of surgery, 3. Complications of surgery, 4. Post-operative morbidity, 5. Analgesic and antibiotic requirements, 6.Hospital stay& 7. Return to work. METHODOLOGY: My study is a prospective randomized study included 60 patients with gallstones, who were admitted to K.A.P.V Medical College & Hospital within the period of 15 months. The selection of procedure was decided depending up on the inclusion and exclusion criteria, exception when patient consent was not given for a particular procedure. The study was approved by Ethical Committee. Duration of study: One year. Study design : Prospective study. Sample Size: 60 cases. Inclusion Criteria: Age between 25 to 70 years. USG confirmation of GB calculus without obstructive features. Cholelithiasis without choledocholithiasis or complications. Cholelithiasis without anomalous biliary tract. Exclusion Criteria: Age < 25 or > 70 years. Features of obstructive jaundice. Patient presenting with cholelithiasis and choledocholithiasis. Patient presenting with gallbladder Malignancy. Patient presenting with anomalous biliary tract. After proper pre-operative workup following the proposed guidelines, patients were studied with reference to duration of surgery, post-operative analgesia, post-operative stay and morbidity, intra operative and post-operative complications. CONCLUSION: As per the study data the laparoscopic cholecystectomy has advantages regarding duration of hospital stay and convalescence. Benefits of laparoscopic approach include reduced hospitalization, decreased pain, avoidance of large incision with improved cosmetic purpose and reduced post-operative recovery time with an early return to work.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711554 |
| Uncontrolled Keywords: | Cholelithiasis, Laparoscopic cholecystectomy, Lap converted to Open cholecystectomy, Bile duct injury, Difficult Calot’s dissection. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Feb 2021 17:15 |
| Last Modified: | 12 Feb 2021 17:15 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14071 |
Actions (login required)
 |
View Item |
