Complications of Laparoscopic Cholecystectomy at Isra University Hospital, Hyderabad

Objective: The main objective was to determine the complications of laparoscopic cholecystectomy (LC) and its causes at Isra University Hospital, Hyderabad. Methodology: This was a retrospective study carried out from July 2005 to June 2007. Data of all patients undergoing laparoscopic cholecystectomy during the study period and fulfilling the selection criteria was collected and analyzed retrospectively. Results: A total of 216 patients underwent laparoscopic cholecystectomy with an overwhelming majority of females. The overall complication rate was 5%. The complications included bleeding (4/216, 1.8%) from cystic artery and gall bladder bed, port site infection (4/216, 1.8%), bile duct injury (2/216, 0.9%) and colonic injury (1/216, 0.4%). The common causes of these complications were accidental injury to cystic artery, gross spillage of infected bile and erroneous clipping of common bile duct. Conclusions: Bleeding and Port site infections were the commonest complications followed by common bile duct and colonic injuries. The commonest cause of bleeding was cystic artery injury whereas the commonest cause of port site infection was gross spillage of infected bile.