Safe Laparoscopic Cholecystectomy: Adoption of Universal Culture of Safety in Cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy (LC) has been the favored technique for treating symptomatic cholelithiasis. LC has several benefits over the normal open cholecystectomy: negligible traumas, reduced pains, shorter hospitalization, acceptable cosmetic outcomes, rapid recovery, and back to work. Aim and objectives: The aim of this study was to identify the predictors of safe LC. Patients and methods: This prospective study was performed among 500 patients underwent LC who was attending to Al-Hussein Hospital, Al-Azhar University from January 2019 to June 2021. Cases with cholecystitis either acute or chronic, patients with age equal or more than 18 years old, and both sexes were included. While patients with age lower than 18 years old, patients with common bile duct (CBD) stone, pregnancy or patients with bleeding tendency history were excluded. Results: Upon assessing factors associated with postoperative complications of laparoscopic cholecystectomy, the male gender was statistically significantly correlated with complications while a non-significant change was found among complications and other sociodemographic variables. A significant association was found among WBCs, total bilirubin, ALT, AST, and complications while a non-significant association was found among gall bladder thickness and complications. Conclusion: In conclusion, this study evaluated the parameters that expect the complications in LC. Patient factors included male sex, leukocytic count, ALT and AST.