Surgical management of gall bladder stones at tertiary care institute of Bhuj, Kutch, Gujarat

Abstract

Background: Gallstones are the major cause of morbidity and mortality throughout the world. With at least 10 % of the adults have gallstones with a recent rise in the incidence due to change in the dietary factors. This study intends to know its various modes of presentation, treatment, and outcome.

Methods: Fifty patients with symptoms and signs of cholelithiasis were included in the study, clinical profile, investigation, treatments, outcomes were analyzed.

Results: The highest age incidence of cholelithiasis was in the 5^th decade, more common in females. Pain abdomen was the most common symptom. Ultrasonography showed gallbladder stones in all patients and 52% of patients undergone open cholecystectomy, 48% of patients undergone laparoscopic cholecystectomy. The conversion rate of lap to open cholecystectomy was 4%. The operating room time and the length of post operative stay were 65 min and 7 days in open cholecystectomy and 115 min and 3 days in lap cholecystectomy.

Conclusions: The result showed cholelithiasis was more common in females, 5^th decade, presented most commonly with pain abdomen. Ultrasonography was the most common investigation. Laparoscopic cholecystectomy reduces the number of hospital days, pain disability.