Abstract

Laparoscopic cholecystectomy has becomes the gold standard for treatment of symptomatic cholelithiasis and most of surgeries are done for acute cholecystitis. Even though the impact of laparoscopic cholecystectomy on biliary pathology is tremendous, surgeons continue to face challenges in laparoscopic cholecystectomy. Anatomical variations, severity of biliary disease, technical problems, altered depth perception visual misinterpretation lending to errors in judgment. All the patients presenting with pain abdomen are subjected to clinical evaluation in the form of detailed history, physical examination, local examination, laboratory investigations and Ultrasonographic parameters was recorded. Difficulty in gall bladder extraction was associated with distended gall bladder (9.6%) and presence end multiple stones (5.8%). A distended gall bladder or the presence of many stones leads to difficulty in the extraction of the specimen the epigastria port and the increase probability of gall bladder perforation during these manoeuvres.

Description