Iranian Journal of Surgery

Investigating the Rate of Intestinal Damage during Laparoscopic Cholecystectomy in Patients Referred to Affiliated Hospitals of Babol University of Medical Sciences during 2007-2017

Document Type : Original Article

Authors

AA Darzi 1
F Esmaeili 2
F Farnoosh 3
S Kamali Ahangar 4
H Gholinia 5

1 Assistant Professor of General Surgery, Shahid Beheshti Hospital, Babol University of Medical Sciences , Babol, Iran

2 Medical Student, Student Research Committee, Babol University of Medical Sciences

3 Assistant Professor, Department of General Surgery, Faculty of Medicine, Babol University of Medical Sciences

4 Research Expert, Clinical Research Development Unit, Babol University of Medical Sciences, Shahid Beheshti Hospital, Babol

5 Master of Science in Biostatistics, Clinical Research Development Unit, Babol University of Medical Sciences, Shahid Beheshti Hospital, Babol

Abstract
Introduction & Objective: Laparoscopic cholecystectomy is a standard procedure for cholecystectomy, although there are fewer complications in this method, but complications such as intestinal and bile duct damage may result in lethal consequences. In this study, in order to identify and take appropriate measures to reduce these injuries during surgery, as well as timely diagnosis and treatment, it has been investigated the prevalence of intestinal injuries in patients who underwent surgery with this method. Materials & Methods: In this cross-sectional study, 1223 patients underwent laparoscopic cholecystectomy in hospitals affiliated to Babol University of Medical Sciences in 2007-17. Demographic and clinical data were evaluated. The data was entered into the SPSS software version 23 and was analyzed with Fisher exact and t-test. The significance level was less than 0.05. Results: The majority of patients, 1051 (85.9%) were women. The age of 386 patients (31.6%) was over 50 years old. The majority of patients, 829 people, equivalent to 67.8%, had chronic cholecystitis. The average and standard deviation for the duration of surgery was 33.26±10.52 minutes and for the duration of hospitalization was 1.10±0.52 days. The prevalence of intestinal damage in patients was generally 0.6% (7 cases). There was a significant relationship between intestinal damage and age, longer hospitalization and longer surgical duration. Most of the patients with intestinal damage had previous history of abdominal surgery and intra-abdominal adhesion. Conclusions: The prevalence of intestinal damage in patients with laparoscopic cholecystectomy was low and this damage was significantly associated with the age of the patients. The most common findings were intestinal injuries of the intra abdominal adhesions and the history of previous abdominal surgery. Therefore, it is recommended that surgeons should be more careful or patients should preferably undergo open cholecystectomy surgery in these cases.

Keywords

Intestinal Injury
Length of Surgery
Cholecystectomy
Laparoscopy
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Iranian Journal of Surgery
Volume 31, Summer
Summer 2023
Pages 17-24

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