A Clinical Study Of Cholelithiasis Presentation And Management In Tertiary Care Hospital

A Clinical Study Of Cholelithiasis Presentation And Management

Abstract

Background: Gallstones are the major cause of morbidity and mortality throughout the world and at least approximately >10 % of the adults have gallstones with a recent rise in the incidence due to change in the dietary factors. This study intends to know its various modes of presentation, treatment and outcome. Materials and Methods: 100 patients with symptoms and signs of cholelithiasis admitted in department of general surgical units of GCS medical College - A Tertiary care hospital, Ahmedabad, Gujarat. from period of January 2018 to October 2019, were included in the study, clinical profile, investigation, treatments and outcomes were analysed. Results: The highest age incidence of cholelithiasis was in the 5th decade, more common in females. Pain abdomen was the most common symptom. Ultrasonography showed gallbladder stones in all patients and 15% of patient undergone open cholecystectomy, 85% of patient undergone laparoscopic cholecystectomy. The conversion rate of lap to open cholecystectomy was 4%. The total operation time and the length of post-operative hospital stay were 100 min and 9 days in open cholecystectomy and 55 min and 3 days in laparoscopic cholecystectomy. Conclusions: The result showed cholelithiasis was more common in females, 5th decade, presented most commonly with pain abdomen. Ultrasonography was the most common investigation. Laparoscopic cholecystectomy reduces the total days of hospital stay, pain and disability [Bagdai A Natl J Integr Res Med, 2020; 11(2):17-20]