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Is Glisson's Capsule Injury During Laparoscopic Cholecystectomy Responsible for Postoperative Right Shoulder Tip
Ijan Dhamala1, Navin Kumar, Prasoon Saxena
1Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Background:
The common postoperative complications of laparoscopic cholecystectomy (LC) are port site infection, biliary leak, hemorrhage, and pain at the surgical site, as well as at the shoulder tip. The aim of the study was to identify whether the Glisson's capsule (GC) injury during LC responsible for postoperative right shoulder tip pain (RSTP).
Material And Methods:
This prospective observational cross-sectional study was conducted over 18 months. We enrolled patients aged ≥18 years who underwent LC. Demographic data, preoperative investigations, and intraoperative video recordings were used to evaluate factors for postoperative RSTP.
Results:
The study included 215 patients with a mean age of 42.65 years. Forty-one participants (19.1%) were male, and 174 (80.9%) were female. Our study showed that the incidence of RSTP after LC was 41.9%. Of 90 patients who had RSTP, 81 (90%) had GC injury. Among the 125 patients without RSTP, 97 (77.6%) also had Glisson's capsule injury. The difference in the presence of Glisson's capsule injury between patients with and without RSTP was statistically significant ( P =0.017).
Conclusion:
Our study demonstrated an association between GC injury and post-LC RSTP.
