A STUDY ON CLINICAL PROFILE OF POST- CHOLYCYSTECTOMY SYNDROME AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Brish Bhan Gupta; Dr.(Prof.) M.Arif Ansari

Volume : VIII, Issue : IV, April - 2019

A STUDY ON CLINICAL PROFILE OF POST- CHOLYCYSTECTOMY SYNDROME AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Dr. Brish Bhan Gupta, Dr. Prof. M. Arif Ansari

Abstract :

In recent decades laparoscopic cholycystectomy has gained a status of one of the most commonly performed abdominal operations. This is due to a isk rise in the incidence of calculus disease of the biliary tract. Also there has been a noticeable increase in its incidence in lower age groups ( < 20 years). Due to the greater numbers of laparoscopic cholecystectomies being performed , the number of patients unimproved by the procedure has also increased proportionately. The study was done AT DEPARTMENT OF SURGERY, KATIHAR MEDICAL COLLEGE & HOSPITAL, KATIHAR from January 2017 to December 2018. Total 200 cases, who had undergone laparoscopic cholecystectomy were studied and followed up. Cases were studied by detailed history, thorough clinical examination and detailed investigations like routine investigations ,Imaging studies and other special investigations as and when required. Data was collected and alalysed for study. Two hundred Laparoscopic cholecystectomy cases have been followed between 2017–2018, out of which 150 were female and 50 male. Post cholecystectomy syndrome was observed in 40 cases giving 20 % , consisiting of 29 females and 11 males.The age group upto 30 years had minimum percentage ( 17.54 % ) of symptomatic cases whereas maximum were seen after 60 years of age.Most of the symptomatic cases(40 % ) came for the treatment within six months of the cholecystectomy.The complaints, details of the surgery and the follow up observations have been recorded.Cases were divided according to the presence of stone at their cholecystectomy into calculus and non calculus groups.the symptomatic cases were more ( 50 % 0 in non calculus groups than in the calculus group ( 18.75 % ).Symptoms related to hepatobiliary system including pancreas have been termed as “ true post cholecystectomy syndrome.” This was found in 8.5 % cases. Advanced investigation techniques correct diagnosis as far as practicable and above all mature operative judgement and meticulous surgery will certainly ing down this undesired Post – cholecystectomy syndrome and finally wipe it out completely