| In recent years complications in performing laparoscopic cholecystectomy has been noticed. Complications include
intraoperative and postoperative complications. Major complications like biliary and vascular complications are always life
threatening resulting in increased mortality rate. This resulted in changing the method of operation from laparoscopy to
open surgery. About 0.5 to 6% of people operated with laparoscopy are expected to have complications. With a rate of
occurrence of about 0.1 to 0.6% among all the population undergone with laparoscopy, injury to common bile duct is the
major cause for mortality. Bile leaks was seen in 7 patients with 23.3%, sub hepatic collection was reported in 3, with 10%,
surgical wound infection was reported in 3 patients with 10%, port site hernia was seen in 2 patients with 6.6%, hematoma
of the abdominal wall was seen in 2 patients with 6.6%, gall bladder carcinoma was seen in 1 patient with 3.3%, retained
calculus in common bile duct was seen in 1 patient with 3.3%, lost gall stones was reported in 2 patients with a percentage
of 6.6% in over all patients reported with post-operative complications (30 patients). From the study it is clear that bile
leakage are of high incidence among postoperative complications and Iatrogenic perforations of the gallbladder and
bleeding from adjacent tissues of gallbladder are of major incidence in intraoperative complications. Thus, it is clear that
intraoperative complications can be overcome by performing the procedure very vigilantly and by immediate alternative
approach. However, based on the severity and requirement the procedure of laparoscopic cholecystectomy can be changed
to other available approach of therapy.ddd |
