Patterns of complications and outcome of laparoscopic cholecystectomy


  • Prem Chand Department of Surgery, Rajindra Hospital, Patiala, Punjab, India
  • Shivanshu Kundal Department of Surgery, Rajindra Hospital, Patiala, Punjab, India
  • Savijot Singh Department of Surgery, Rajindra Hospital, Patiala, Punjab, India
  • Sangam Papneja Department of Surgery, Rajindra Hospital, Patiala, Punjab, India
  • Jaspal Singh Department of Surgery, Rajindra Hospital, Patiala, Punjab, India



Early recovery, Low complication, Safe laparoscopic cholecystectomy


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.

Author Biography

Shivanshu Kundal, Department of Surgery, Rajindra Hospital, Patiala, Punjab, India








Gupta V. ABCD of Safe Laparoscopic Cholecystectomy: Imbibing Universal Culture of Safety in Cholecystectomy. Ind J Surg. 2018 1:1-2.

Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC. Complications of laparoscopic cholecystectomy: a national survey of 4292 hospitals and an analysis of 77604 cases. Am J Surg. 1993;165(1):9-14.

Watkin DS, Haworth JM, Leaper DJ, Thompson MH. Assessment of the common bile duct before cholecystectomy using ultrasound and biochemical measurements: validation based on follow-up. Ann R Coll Surg Engl. 1994;76(5):317-9.

Darzi A. Principles of laparoscopic surgery. In: Russel RCG, Williams NS, Bulstrode CJK, editors. Bailey and Love’s short practice of surgery. 24th ed. London: Hodder Arnold; 2004: 107-117.

Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL. Laparoscopic cholecystectomy: experience with 375 consecutive patients. Ann Surg J. 1992;58:206-10.

Schirmer BD, Edge SB, Dix J, Hyser MJ, Hanks JB, Jones RS. Laparoscopic cholecystectomy: treatment of choice for symptomatic cholelithiasis. Ann Surg. 1991;213(6):665-77.

The Southern Surgeons club. A prospective analysis of 1518 laparoscopic cholecystectomies. N Engl J Med. 1991;324(16):1073-8.

Radunovic M, Lazovic R, Popovic N, Magdelinic M, Bulajic M, Radunovic L, et al. Complications of laparoscopic cholecystectomy: our experience from a retrospective analysis. Open access Macedo J Med Sci. 2016 Dec 15;4(4):641.

Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Buess G, et al. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991 Mar 1;161(3):385-7.

Chotai NR, Choksi BB, Damor S, Bhedi A. Intraperitoneal access by closed method (veress needle) versus open (Hasson’s) method in laparoscopic surgery to create pneumoperitoneum. Inter Surg J. 2017 Jul 24;4(8):2786-90.

Bhoyrul S, Vierra MA, Nezhat CR, Krummel TM, Way LW. Trocar injuries in laparoscopic surgery. J Am Coll Surg. 2001;192(6):677-83.

Kok KY, Mathew VV, Tan KK, Yapp SK. A prospective review of laparoscopic cholecystectomy in Brunei. Surg Laparosc Endosc. 1998;8(2):120-2.

Duca S, Bala O, Al‐Hajjar N, Iancu C, Puia IC, Munteanu D, et al. Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations. HPB. 2003;5(3):152-8.

Vagenas K, Karamanakos SN, Spyropoulos C, Panagiotopoulos S, Karanikolas M, Stavropoulos M. Laparoscopic cholecystectomy: a report from a single center. World J Gastroenterol. 2006;12(24):3887-90.

Viste A, Horn A, Ovrebo K, Christensen B, Angelsen JH, Hoem D. Bile duct injuries followinh laparoscopic cholecystectomy. Scand J Surg. 2015;104(4):233-7.

McMahon AJ, Fullarton G, Baxter JN, O’Dwyer PJ. Bile duct injury and bile leakage in laparoscopic cholecystectomy. Br J Surg. 1995;82(3):307-13.

Richardson MC, Bell G, Fullrton GM. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. Br J Surg. 1996; 83(10):1356-60.

Hugh TB, Kelly MD, Mekisic A. Rouviere’s sulcus: a useful landmark in laparoscopic cholecystectomy. Br J Surg. 1997;84:1253-4.

Sasmal PK, Tantia O, Jain M, Khanna S, Sen B. Primary access-related complications in laparoscopic cholecystectomy via the closed technique: experience of a single surgical team over more than 15 years. Surg Endo. 2009;23(11):2407-15.

Peters JH, Ellison EC, Innes JT, Liss JL, Nichols KE, Lomano JM. Safety and efficacy of laparoscopic cholecystectomy. A prospective analysis of 100 initial patients. Ann Surg. 1991;213(1):3.

Panpimanmas S, Kanyaprasit K. Complications of laparoscopic cholecystectomy and their management. Hepatogastroentrol. 2004;51(55):9-11

Goswami A, Gogoi M, Rahman MA. A study on biliary leakage after cholecystectomy. Inter J Contemporary Med Res. 2017;4(5):1212-5.

Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180(5):101-25.






Original Research Articles