Port Site Infection Following Laparoscopic Cholecystectomy: A Clinicopathological Evaluation

Auhtor: SM Sarwar, MJK Bhuiyan, T Talukdar, MA Hossain, MO Faroque, O Rashid

Abstract:

Introduction: Gallbladder disease is one of the commonest surgical problems. Laparoscopic cholecystectomy (LC) has been established as the gold standard for the symptomatic gallstone disease since 1996. This study evaluated the port site infection in laparoscopic cholecystectomy, method of their identification and appropriate measures to be taken to combat this complication. Methods: This prospective type observational study was conducted in the Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU). In this study we presented 100 cases of laparoscopic cholecystectomy from January 2011 to December 2011. The patients were selected on the basis of clinical and sonological criteria of being gallstone disease who subsequently underwent Laparoscopic cholecystectomy. Results: Among 100 patients, 80 patients were female and 20 patients were male with maximum age group was in the 21 to 40 years group. None of the patients developed major post-operative complication. Out of 100 cases, 7 (7%) patients developed port site infection (PSI). Umbilical port site was infected in 6 cases, followed by epigastric port site in 1 case through which gall bladder was delivered. Duration of operation in one patient with port site infection was <1 hour while in 6 cases the duration were >1 hour. Peroperative difficulties faced in 41 (41%) patients, among them 5% cases had dense adhesion, 14 % cases had distended gallbladder and 6% cases have difficult gallbladder retrieval and 10% cases have small fibrosed gallbladder. The dominant microbes identified in infection was Enterococcus sp(50%), Klebsiella sp, Escherichia coli and Staphylococcus aureus.

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