Postoperative Port Site Early Complications of Laparoscopic Cholecystectomy

Sadia Paras, Abdul Ghafoor Dalwani, Sohail Ahmed, Ghulam Akbar Khaskheli, Nawaz Ali Dal, Ghashia Khan

Abstract

Objective

To determine the frequency of port-site postoperative early complications of laparoscopic cholecystectomy.

Study design

Cross-sectional study.

Place & Duration of study

Department of Surgery at Liaquat University Hospital (LUH) Jamshoro, from August 2019 to February 2020.

Methodology

Patients who underwent laparoscopic cholecystectomy for symptomatic gallstones diagnosed on ultrasound were included in this study. A four-port procedure was performed. The drain was placed through the right-sided lumbar port. The average operation time was noted. Patients were mobilized on the same day and discharged on the next day. All patients were advised follow-up visits at first and second week after surgery.  

Results

A total of 71 patients underwent laparoscopic cholecystectomy. The mean age of the patients was 39.87±6.12 year. There were 66 (84.5%) females in this study. Port-site infection was the most common complication noted in 11 (14.1%) patients, pain in 6 (8.5%), abscess formation in 3 (4.2%), bleeding, hematoma and port-site hernia in one (1.4%) patient each. There was no significant difference in the overall complication rate between genders and different age groups. However, a significant difference was observed in the complication rate according to the duration of surgery (p<0.001).

Conclusions

Laparoscopic cholecystectomy was associated with number of early port-site postoperative complications most common of which was infection and pain. Complication rate was significantly increased with increased duration of surgery.  Infra-umbilical port-site was mostly infected.

Key words

Laparoscopic cholecystectomy, Port-site infection, Port-site hernia, Gallstone.