PERIOPERATIVE INCIDENCE OF IATROGENIC GALLBLADDER PERFORATION DURING LAPAROSCOPIC CHOLECYSTECTOMY IN SULAIMANIYAH TEACHING HOSPITAL

Volume 12 , Issue 1 , March 2022 , Pages 31-38

Authors

Sarkhel Hama Tofiq 1 ; Seerwan Hama Shareef 2

1 Sulaimani Teaching Hospital, Directory of Health, Sulaimani, Kurdistan Region, Iraq.

2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10341

Keywords

Abstract

Background
Iatrogenic perforation of the gallbladder has been reported in 28% of those patients who undergo laparoscopic
cholecystectomy. It has been pointed out that gallbladder perforation can result in spillage out gallstones and
bile.
Objectives
To investigate the perioperative incidence of iatrogenic gallbladder perforation during laparoscopic
cholecystectomy in Sulaimani Teaching Hospital.
Patients and Methods
The present investigation was a single-centre, prospective observational study that was carried out in
Sulaimani Teaching Hospital in 2018-2019. The study sample included 99 patients who had undergone elective
cholecystectomy by multiple surgeons.
Required data on the possible risk factors and early outcomes and the patients’ demographics, including age,
BMI, and gender, were collected. The collected data were analyzed through the Statistical Package for the
Social Sciences (version 22.0).
Results
The results revealed that 80% of the patients were females. Also, 42.4% had no chronic diseases. At the
same time, diabetes mellitus (DM), DM along with hypertension (HT), and HT were the most prevalent
chronic diseases among them with 18.2%, 16.2%, and 10.1% of prevalence, respectively. (Multiple attacks of
cholestasis). Only 17.2% of the patients had an abdominal operation before, and acute cholestasis and chronic
cholestasis were seen respectively in 13% and 17% of them. The most common causes of gallbladder perforation
(GP) were found to be electrocautery (16.2%) and grasper (7.1%). 33.3% of the patients were overweight (BMI
between 25 and 29.9), 45.5% were obese (BMI between 30 and 34.9), and 20.2% had a BMI of over 35.
(Overweight or obese patients have a problematic view in laparoscopy) Most of the patients were aged 30 to 49
(62.6%). A majority of the patients (94.9%) were found to have gallstones.
Conclusion
Iatrogenic gallbladder perforation is prevalent among patients who undergo laparoscopic cholecystectomy.
However, laparoscopic cholecystectomy is still a better choice and is associated with fewer complications
than open cholecystectomy. Required measures need to be adopted for patients with perforated gallbladder to
minimize spillage and remove as much spilt gallbladder content as possible.

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  • Published at21 March 2022

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