Retrospective Study of Demographic Profile and Clinical Outcome Following Laparoscopic Cholecystectomy Over One Year at NMCH, Sasaram

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Abstract (English)

Abstract
Aim: The aim of the present study was to evaluate the demographic profile and clinical outcome following
laparoscopic cholecystectomy over one year at NMCH, Sasaram.
Methods: This study was a retrospective study included 100 patients with gall stones and gall bladder-related
disease who were admitted in the Department of General Surgery, Narayan Medical College and Hospital,
Sasaram, Bihar, India for the period of one year.
Results: The mean age of study population was 42.00 ± 12.00 years with a range of 20 years–80 years, median
age being 40 years. Of the included patients 65 (65%) were male and 35 (35%) were female. All patients fell
under an ASA2 (95%) or ASA3 category (5%). Co-morbidities outlined in table 2 from most to least common
include: hypertension (32%), diabetes (30%), anticoagulant therapy (18%), respiratory disease (14%), chronic
kidney disease (9%) and myocardial infarction (2%). The mean duration of symptom onset to date of surgery
was 180 days. Of the 100 patient records screened, two elective laparoscopic cholecystectomies were converted
to open surgery. Both of these patients were male and required open surgery due to difficulties in safely
delineating the anatomy via a laparoscopic approach. Mean operative duration was 106 minutes (range: 32-
280). A surgical drain was left in situ in 20% of cases and subsequently removed in all cases prior to discharge.
Conclusion: The recent literature demonstrates that LC is a feasible and safe procedure in elderly patients and,
whenever possible, LC should be performed during the same hospitalization like definitive treatment of
gallstone disease. Elective LC could be recommended when repeated gallstone symptoms have occurred in the
elderly patient and dedicated surgical team experienced in gallbladder and biliary tract disease should treat these
pathologies.