Assessment of Congenital Anomalies Encountered During Laparoscopic Cholecystectomy

Abstract

Objective: To determine the congenital anomalies encountered during laparoscopic cholecystectomy.

Methodology: The study was conducted in the Department of Surgery from February 2021 to July 2021 following ethical approval, included patients scheduled for cholecystectomy due to gallstone disease. Both male and female participants aged 18 to 60 years who consented to participate were encompassed. Laparoscopic techniques under general anesthesia were employed, and anomalies observed during surgery were meticulously documented using a predefined proforma. Subsequently, all collected data were entered and subjected to analysis using SPSS version 26.

Results: A total of 143 patients were included in the analysis. The average age of the patients was 41.34 years, and the average duration of hospital stay was 6.28 days. The overall incidence of congenital anomalies among patients who underwent laparoscopic cholecystectomy was 18.88%. The most common anomaly observed was cystic artery anomalies, affecting 8.39% of patients, followed by cystic duct anomalies (3.49%), right hepatic duct anomaly (2.79%), gall bladder anomalies (2.9%), and the least common being the presence of a common hepatic artery (1.39%).

Conclusion: In summary, the study revealed an overall incidence of anatomical variations during laparoscopic cholecystectomy of 18.88%, with cystic artery anomalies emerging as the most common variation. It is essential to consider these anomalies during the procedure to mitigate potential complications.