Cholelithiasis presentation and management in tertiary care hospital in South India: A clinical study

Abstract

Background: Gallstones are the major cause of morbidity and mortality throughout the world. With at least 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, outcome. Methods: Fifty patients with symptoms and signs of cholelithiasis admitted in surgical 'B' unit, Government Medical College-A Tertiary care hospital, Mysuru from period of January 2012 to July 2013, were included in the study, clinical profile, investigation, treatments, outcomes were analysed. Results: The highest age incidence of cholelithiasis was in the 5 th decade, more common in females. Pain abdomen was the most common symptom. Ultrasonography showed gallbladder stones in all patients and 52% of patients undergone open cholecystectomy, 48% of patients undergone laparoscopic cholecystectomy. The conversion rate of lap to open cholecystectomy was 4%. The operating room time and the length of post-operative stay were 65 min and 7 days in open cholecystectomy and 115 min and 3 days in lap cholecystectomy. Conclusions: The result showed cholelithiasis was more common in females, 5 th decade, presented most commonly with pain abdomen. Ultrasonography was the most common investigation. Laparoscopic cholecystectomy reduces the number of hospital days, pain, disability.