Janni Laxman
BACKGROUND Gallstones are one of the most common medical problems leading to surgical intervention throughout the world. At least 10% of the adults have gallstones. With a recent rise in the incidence due to westernization of diet. It has been well demonstrated that the presence of gallstones with age. This study intends to know its various modes of presentation, its complications, various treatment modalities and their outcome. The objectives of the study were- 1. To evaluate the complications of cholelithiasis including pathological changes in the gallbladder and 2. To compare & evaluate the advantages and disadvantages of laparoscopic versus open cholecystectomy. MATERIALS AND METHODS A prospective study of 100 cases diagnosed to have gallstones and admitted to GEMS Hospital, Srikakulam during September 2013 to October 2015 was done. RESULTS LC versus OC (72 cases in laparoscopic and 28 cases in open cholecystectomy) and found that the mean operating room time was 96 min for OC and 90 min for LC. The conversion rate was 4%. The mean duration of hospital stay was 9 days for OC and 4 days for LC. Patients recovered significantly faster after LC. CONCLUSION The commonest symptom was pain and commonest sign was tenderness. The most common complication presenting with symptomatic gall stones was chronic cholecystitis. Laparoscopic cholecystectomy is a safe and effective treatment for most patients with symptomatic gallstone.
