International Surgery Journal | February 2020 | Vol 7 | Issue 2 Page 484 International Surgery Journal Chand P et al. Int Surg J. 2020 Feb;7(2):484-488 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Original Research Article Patterns of complications and outcome of laparoscopic cholecystectomy Prem Chand, Shivanshu Kundal*, Savijot Singh, Sangam Papneja, Jaspal Singh INTRODUCTION Cholelithiasis is one of the most common biliary pathologies and cholecystectomy is the standard treatment for that. A safe cholecystectomy means that it is safe for both patients i.e. in case of any hollow viscus organ injury any bile duct injury and for doctors also (no or minimum scope of any litigation. 1 The minimally invasive surgery, now turned into minimal access surgery has prompted us to scrutinize nearly all operations for the possible conversion to the laparoscopic technique.. The aim is to accomplish the surgical therapeutic goals with minimal somatic and psychological trauma. Minimal access surgery has reduced the wound access trauma. It is more cosmetic than the conventional technique. With increasing trend of laparoscopic cholecystectomy there has been significant increase in injury to bile duct ranging from 0.3-0.6%. 2 To prevent this a better assessment of the CBD before laparoscopic cholecystectomy using USG and biochemical measurements is highly specific. The pre-operative assessment of CBD by LFT, CBD diameter by USG before laparoscopic cholecystectomy removes the need for any routine operative cholangiography. 3 With increasing experience, laparoscopic cholecystectomy offers cost-effectiveness both to health services and to employers by shortening the stay at the hospital, shortening the operative time and faster recovery. 4 ABSTRACT Background: Cholelithiasis is known to be one of the most common biliary pathologies. Laparoscopic cholecystectomy is the gold standard for the removal of the gallbladder, because of its cosmetic benefit, short stay, cost-effective and lesser side effects. But no procedure is immune to complications and other procedure-related side effects. The present study was conducted to study the patterns of complications and outcome of laparoscopic cholecystectomy. Methods: the present study was conducted prospectively on patients undergoing laparoscopic cholecystectomy for symptomatic gall bladder pathology. the patients undergoing laparoscopic cholecystectomy were distributed and analysed on various parameters i.e. age, sex, ultrasound abdomen findings, complications related to access, per- operative condition of gallbladder, per-operative and postoperative complication. Results: In our study cases major complication rate 1% leading to biliary stricture for which hepaticojejunostomy was done, minor complication rate 11% and conversion to open cholecystectomy rate 2%. Conclusions: It is concluded that laparoscopic cholecystectomy is the safe and standard procedure for the laparoscopic cholecystectomy and its major complication are preventable by strictly following the basic principles of laparoscopic cholecystectomy and keeping a low level of the threshold for converting to open cholecystectomy. Keywords: Early recovery, Low complication, Safe laparoscopic cholecystectomy Department of Surgery, Rajindra Hospital, Patiala, Punjab, India Received: 29 October 2019 Revised: 20 December 2019 Accepted: 21 December 2019 *Correspondence: Dr. Shivanshu Kundal, E-mail: drshivanshu1621@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2349-2902.isj20200302