Complications of Laparoscopic Cholecystectomy Done by Senior Surgery Residents in Patients Referring to Teaching Centers in Rasht, Northern Iran

Abstract

Background:

 Laparoscopic cholecystectomy is the treatment of choice for cholecystitis.

The aim of this study was to evaluate the frequency of complications in patients referring to educational centers in Rasht.

Materials and Methods:

In this descriptive cross-sectional study, the records of 132 patients referred to Poursina and Razi Hospitals of Rasht in 2006 were studied. Complications such as the need for open surgery, surgical site infection, and bile duct injury were evaluated in subsequent visits.

Results:

 The subjects aged between 19 and 80 years with a mean of 14.65 ± 53.06 years. An open surgical procedure was reported in 8.2% of the subjects. Biliary duct injury and surgical site infections in patients undergoing laparoscopic cystectomy were estimated 4.1% and 8.2%, respectively. 2% of the subjects suffered from a surgical abscess. Vomiting and fever were reported in 16.3% and 8.2% of the cases, respectively. The mean age of the subjects with the surgical site infection was significantly higher than others. In addition, the open surgery rate in men was significantly higher in women.

 Conclusion:

Laparoscopic cholecystectomy is a safe and effective method with low complications and, as a standard method of cholecystectomy, in the conditions and facilities available in our country, has a high success rate.