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Symptomatic outcome after laparoscopic cholecystectomy.

B Niranjan1, S Chumber, A K Kriplani

  • 1Department of Surgical Oncology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|November 21, 2000
PubMed
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Laparoscopic cholecystectomy effectively relieved most gallstone symptoms, especially pain, nausea, and vomiting. However, some patients experienced persistent heartburn or developed new issues like post-prandial diarrhea.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Gallstone disease frequently causes diverse patient complaints.
  • Laparoscopic cholecystectomy is a common surgical intervention for symptomatic gallstones.

Purpose of the Study:

  • To investigate the primary complaints of patients undergoing laparoscopic cholecystectomy.
  • To assess the degree of symptomatic relief achieved after the procedure.

Main Methods:

  • A study of 113 patients with symptomatic gallstones undergoing laparoscopic cholecystectomy.
  • Exclusion of patients with complicated biliary tract disease.
  • Mean follow-up of 18 months to evaluate symptom persistence and new complaints.

Main Results:

Related Experiment Videos

  • Abdominal pain (96%) and fullness (85%) were most common pre-operatively.
  • Laparoscopic cholecystectomy achieved 99% relief for biliary pain and significant relief for nausea, vomiting, and sour eructation.
  • Post-cholecystectomy diarrhea occurred in 20% of patients; heartburn and belching persisted in some.

Conclusions:

  • Laparoscopic cholecystectomy offers substantial symptom relief for gallstone disease.
  • Pre-operative heartburn and flatulence may predict poorer outcomes for non-pain symptoms.
  • Patients require counseling regarding potential persistence of certain symptoms post-surgery.