European Journal of Molecular & Clinical Medicine

Abstract

Background: Cholelithiasis is a chronic recurrent disease of the hepatobiliary system.
Gallstones are the major cause of morbidity and mortality throughout the world. With
atleast 10% of the adults have gallstones with a recent rise in the incidence due to
change in the dietary factors. This study aims to evaluate the demographic factors, its
various modes of presentation, treatment, outcome
Method: This prospective study was conducted on 100 patients in General
Surgery Ward, at Dr. D.Y. Patil Hospital and Research Centre, Pune for a period of
1 year who were diagnosed with cholelithiasis. Epidemiological aspects, Clinical
profile, investigation, treatment and outcomes were analyzed.
Result: The mean age of the patients was 36.82 years with male to female ratio
1:0.69. Pain abdomen was the most common symptom. Ultrasonography showed
gallbladder stones in all patients and 31% of patients undergone open
cholecystectomy and 65% underwent laparoscopic cholecystectomy. The
conversion rate of lap to open cholecystectomy was 4%. The average length of
post operative stay in Laparoscopic Cholecystectomy was 3 days and 7 days in
open cholecystectomy.
Conclusion: Laparoscopic cholecystectomy offers better surgical management with
reference to post operative pain, lesser number of hospital days and cosmetically
better