Symptomatic outcome following laparoscopic cholecystectomy

R. Hasan, V. Abeysuriya, S. Kumarage, J.A.A.S. Wijesinghe
2016 IOSR Journal of Dental and Medical Sciences  
The symptomatic outcome following laparoscopic cholecystectomy in patients with gallstone disease has notbeen evaluated extensively. Objective:To assess the symptom prevalence of pre and postlaparoscopic cholecystectomy for symptomatic gallstone disease. Methods: A descriptive study was carried out on 60 patients treated by laparoscopic cholecystectomyfrom 2013 to 2016.Patients with choledocholithiasis were excluded.The symptom profile of the patients was evaluated by a standardized interviewer
more » ... administered questionnaire which included demographic details; pre and post-operative symptoms; returning to full activity; wound complications and their general acknowledgement of the surgical intervention. The questionnaire was administered to the patients at least three monthspostoperatively. To establish the relevance of abdominal symptoms to gallstone disease, the frequency of pre and post-operative symptoms were compared. Results: Symptoms relieved by cholecystectomy were nausea, vomiting, colicky abdominal pain and back-pain. Flatulence, fat intolerance, and nagging abdominal pain were unaffected. Relief of heartburn outweighed the de novo development of this symptom after cholecystectomy.Post cholecystectomydiarrhoea occurred in 11%. In the elderly age group (>60 years), significant number of patients regained full activity after laparoscopic cholecystectomy. Patient acknowledgementof a satisfactory cosmetic resultis 100% following the laparoscopic cholecystectomy. Conclusion: Despite the persistence or de novo occurrence of symptoms, majority of patientsconsidered that they obtained symptomatic improvement following surgical treatment and were pleased with the end result.
doi:10.9790/0853-1509037173 fatcat:a3hrp5p6t5h45ft7rejjq5tkdy