A retrospective study of outcome of Intraoperative gall bladder perforation during laproscopic cholecystectomy

Background: During laparoscopic cholecystectomy, gallbladder perforation with leakage of bile and/or gallstones into the abdominal cavity occurs frequently while gallbladder is being dissected from liver bed or while extracting it through the port site. In this retrospective study we have studied the case files of the patients who underwent laproscopic cholecystectomy and had intraoperative gallbladder perforation and had studied its effect on outcome of the surgery. Material & method: This is a retrospective done at patna medical college and hospital in January 2016 in which the patients records of 310 patients of laproscopic cholecystectomy from January 2015 to December 2015 were studied. The incidence of perforation, duration of operation and the post-operative complications were noted and the data obtained was analysed Result: In 310 patient , only 16 (5.17%) patients had gallbladder perforation. The perforation was more common during dissection from liver bed. The mean duration of surgery in perforated cases were 65 min compared to 50 mins in patients without perforation. Mean duration of stay in hospital was 56 hrs in patients with perforation while it was 22 hrs in patients without perforation. Conclusion: Intraoperative Gallbladder perforation does not lead to any other adverse complications.