Cholelithiasis is one of the commonest disorders of GIT. Cholecystectomy was done traditionally by openor conventional cholecystectomy. But now Laparoscopic approach is believed to be the gold standardin treatment of calculous cholecystitis. Common problems encountered during Laparoscopic approachare Difficult dissection due to distorted Anatomy, Infection at GB Fossa, Frozen Callot’s triangle [1],hypervascularity. In this study we included 30 patients having complicated calculous cholecystitis whowent under laparoscopic cholecystectomy. They were assessed to determine the feasibility and safety oflaparoscopic approach in complicated calculous cholecystitis. e.g. Gall bladder Mucocele, Gall bladderEmpyema [2], Gangrenous changes in Gall bladder, Gall bladder Perforation, Common Bile Duct stonesalong with Cholangitis /Pancreatitis. Early post-operative ambulation (within 1 to 2 days) along with alesser duration of post-operative hospitalisation, decrease chance of sepsis during post-operative period anddecrease in morbidity along with lesser complication rate can be achieved with laparoscopic cholecystectomyin complicated calculus cholecystitis.
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