28. Determine the Frequency of Common Bile Duct Injuries Encounter during Laparoscopic Cholecystectomy at Tertiary Care Hospitals
Muhammad Hanif Abbasi
ABSTRACT
Objective:- Determine the frequency of common bile duct injuries encounter during laparoscopic cholecystectomy.. Study Design: Observational / descriptive Study.
Place and Duration of Study: This Study was conducted at the Surgical Ward 18A and Army Liver Transplant Unit, Military Hospital Rawalpindi from January 2016 to Jan 2017.”
Materials and Methods: “All 588 cases of gallstones had been diagnosed by abdominal ultrasound. All preoperative workup done before going laparoscopic cholecystectomy procedure. Patients age > 20 years and both gender were included in this study, while carcinoma of gall bladder, stone in CBD and obstructive jaundice were excluded from this study.”
Results: “588 cases diagnosed of Cholelithasis for laparoscopic cholecystectomy. Female patients were mostly presented with gallstone in 533(90.64%) female, female to male ratio were 10.69:1. The mean age was 36+6.17years. Mostly patients reported in 3rd and 4th decade age groups 366(62.24%) cases in between 36-50 years. Multiple stone was 477(81.12%) are more reported as compare to single stone. Common findings on ultrasound was thick wall gallbladder 359(61.05%) cases followed by contracted Gallbladder in 69(11.73%) cases. Common bile duct injury during laparoscopic cholecystectomy observed in 19(3.23%) cases.”
Conclusion: “The key point in preventing CBD injury is correctly identifying the Calot's triangle. Use of IOC can help in identification and further prevention of CBD injury and complications associated with it.” Key Words: Common Bile duct injury, Cholecystectomy, Laparoscopic cholecystectomy.
Citation of article: Abbasi MH. Determine the Frequency of Common Bile Duct Injuries Encounter during Laparoscopic Cholecystectomy at Tertiary Care Hospitals. Med Forum 2017;28(2):108-111.