Abstract

*Dr. P. Sathyaraj M. S. and Dr. P. Isakkirajan

ABSTRACT

The laparoscopic cholecystectomy is considered to be the gold standard treatment for gall stone disease because of less post-operative complications and early discharge. The objective of the study is to find out the pre-operative biochemical and radiological determinants of difficult laparoscopic cholecystectomy. This is a retrospective case control study to detect the determinants of difficult laparoscopic cholecystectomy. All the patients underwent laparoscopic cholecystectomy between January 2015 to December 2019 were included in the study. The laparoscopic cholecystectomy with operative time more than 2 hours, procedure with the need for conversion to open cholecystectomy technique, significant intra-operative bleeding, use of synthetic hemostats, vascular and biliary tract injury are considered to be difficult laparoscopic cholecystectomy. Totally 172 patients were included in the study, of which 86 patients were included in control group and other 86 were study group population. The control group patients had no operative signs of difficult laparoscopic cholecystectomy.