Alterations in the liver function following Laparoscopic Appendicectomy

A. Madhu Sudan; N. Himabindu; V. Rama Mohan Rao; R. Supraja Ram

Volume : VII, Issue : XI, November - 2018

Alterations in the liver function following Laparoscopic Appendicectomy

A. Madhu Sudan, N. Himabindu, V. Rama Mohan Rao, R. Supraja Ram

Abstract :

Acute Appendicitis is one of the common surgical emergencies managed by general surgeon. Introduction of laparoscopic surgery has revolutionised the surgical practice. Alterations in the liver enzymes following pneumoperitoneum have raised concerns regarding the safety of laparoscopic surgery. This study was done to evaluate the alterations in the liver function following laparoscopic appendicectomy in patients with Acute Appendicitis. Around hundred patients above the age of 14 years with Acute Appendicitis undergoing laparoscopic appendicectomy were included in the study. Liver function tests were done preoperatively and on postoperative day 1 and day 7. All patients had acute rise in serum bilirubin both conjugated and unconjugated and liver enzymes SGOT, SGPT, alkaline phosphatase on the first post-operative day, reaching to near preoperative values by postoperative day 7. These changes had no clinical implications in patients with normal liver function but an alternative to be thought of in patients with reduced liver reserve.