Introduction:
In the recent years, cholelithiasis has become one of the major cause of increased abdominal morbidity and mortality through the world. The impaired metabolism of cholesterol, bilirubin and bile acids, leads to formation of gallstones in the hepatic bile duct, common bile duct, or gallbladder.
Objectives:
The study was conducted to analyze the clinical presentation, incidence and variations of presentation among the various age/sex groups and the various mode of management of Cholelithiasis.
Results:
The present study Included 65 patients with cholelithiasis, out of which 41 were females and 24 were males. The mean age group of patients was 45years and incidence rate was more common in female patients with mean age of 45.3years. It is also observed that mixed stones 36 (55%) were commonly seen compared to pigment stones 21(32%) and cholesterol stones08(12%). Significant association was seen with patients who are on mixed diet(N=39). Upper abdominal pain was the primary presentation seen in all patients, associated with dyspepsia, nausea, vomiting and fever in few patients. As laparoscopic cholecystectomy is considered as gold standard technique, 83% of patients underwent same surgery with minimal postoperative complications compared to open cholecystectomy.
Conclusion:
Laparoscopic cholecystectomy reduces the number of hospital days and was associated with lesser postoperative morbidity. Further studies are required in larger population to find out the prevalence rate as well as mode of management in patients with cholelithiasis.
Key words: Cholelithiasis, Laparoscopic Cholecystectomy, Mixed Stones
|
