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- Title
Modified laparoscopic cholecystectomy: A prospective study focusing on the complications and association in comparison to umblical port diameter.
- Authors
Usmani, Fareya; Wasim, Mehmooda; Sheikh, Amtullah; Shafqatullah, Syed Muhammad; Anwar, Adnan
- Abstract
Objective: The objective of this study was to assess the safety and effectiveness of the modified laparoscopic cholecystectomy in terms of complications. Further more it also signified the importance of the size of incision during the surgery and its association with surgical complications Study design Prospective observational study Patients and methods: after taking ethical approval, a prospective observational study conducted from January 2015 till August 2017 for a period of 2.5 years through non-probability convenient sampling technique. The study comprised of a total of 101 patients from the Surgical Department of Sir Syed Hospital, Qayyum-abad Korangi Road Karachi. All the patients who had undergone modified laparoscopic cholecystectomy for symptomatic gallbladder stones with chronic cholecystitis, benign polyp and biliary colic were included in the study. Visual analogue pain scale was used to assess the intensity of pain. The complications were observed and documented. Data was analysed using SPSS version 20.0. The test for normality was applied and Mann Whitney u-test was used to assess the difference. P-value of less than 0.05 was considered as significant. Results: In a total of 101 patients 27(26.7%) were males and 74(73.3%) were females. The mean age of patients was 38.5±14.27. Patients who had surgical port diameter of 5mm were 53(52.5%) and 10mm were 48(47.5%). No to mild pain was recorded in 47(46.5%) patients, moderate in 32(31.7%) and severe in 22(21.8%) patients. The complication of wound infection was recorded at 5th and 7th post-operative day and found to be present in 7(6.9%) and 4(4.0%) of patients, respectively. Port site hernia was present in 4(3.8%) of patients with 5mm port and 15(14.6%) in patients with 10mm port diameter. Mean value of pain in all the patients was 4.7±2.62. Males had a mean range of 40.76 and females 54.74 with a substantial p-value of 0.03. Conclusion: The present study concluded that modified laproscopic cholecystectomy is harmless and clinically beneficial procedure. The difference in the visual pain scale of modified laparoscopic cholecystectomy (MLC) in 5 mm and 10 mm port diameter was minor. However substantial variance existed on visual analogue pain scale on gender basis.
- Subjects
CHOLECYSTECTOMY; GALLBLADDER surgery; LAPAROSCOPIC surgery; SURGICAL complications; GALLSTONES
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 2, p120
- ISSN
0258-8552
- Publication type
Article