Postoperative Port Site Complications of Patient Undergoing Laparoscopic Cholecystectomy

Authors

  • Jamshid Ahmad Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Shah Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2123

Keywords:

Laparoscopic cholecystectomy, port site infection, postoperative pain, surgical site abscess, complications, descriptive study

Abstract

Laparoscopic cholecystectomy is the standard surgical treatment for symptomatic gallstones. Despite being minimally invasive, port site complications such as pain, infection, and abscess can occur and may affect recovery and satisfaction. Objective: To determine the frequency of postoperative port site complications of patients undergoing laparoscopic cholecystectomy at Hayatabad Medical Complex, Peshawar. Methods: This study was conducted on a sample of 172 patients aged 18 to 65 years undergoing laparoscopic cholecystectomy for symptomatic gallstones. Patients with uncontrolled diabetes, uncontrolled hypertension, or chronic liver and kidney disease were excluded. Postoperative port site complications were evaluated within 30 days, such as pain, infection, and abscess. SPSS 21 was used for data analysis. Associations were assessed using the chi-square test, with P values significant at ≤ 0.05. Results: The mean age of 172 patients in the present study was 42.30 ± 14.32 years. Gender-wise, females had a higher majority at 75.6%.  Postoperative port site complications were infection, observed in 13 (7.6%) cases, pain in 11 cases (6.4%), and abscess in 4 cases (2.3%). No statistically significant associations were found between the complications and demographic factors. Conclusion: Laparoscopic cholecystectomy is a safe procedure with minimal port site complications, such as infection (7.6%), pain (6.4%), and abscess (2.3%).

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References

Jiang B, Ye S. Pharmacotherapeutic pain management in patients undergoing laparoscopic cholecystectomy: a review. Adv Clin Exp Med. 2022;31(11):1275-1288. https://doi.org/10.17219/acem/151995

Di Buono G, Romano G, Galia M, Amato G, Maienza E, Vernuccio F, et al. Difficult laparoscopic cholecystectomy and preoperative predictive factors. Sci Rep. 2021;11(1):2559. https://doi.org/10.1038/s41598-021-81938-6

Stasi R. How to approach thrombocytopenia. Hematology Am Soc Hematol Educ Program. 2012;2012(1):191-197. https://doi.org/10.1182/asheducation-2012.1.191

Gernsheimer T, James AH, Stasi R. How I treat thrombocytopenia in pregnancy. Blood. 2013;121(1):38-47. https://doi.org/10.1182/blood-2012-08-448944

Song Y, Ma Y, Xie FC, Jin C, Yang XB, Yang X, et al. Age, gender, geographic, and clinical differences for gallstones in China: a nationwide study. Ann Transl Med. 2022;10(13):735. https://doi.org/10.21037/atm-21-6186

Raadsen M, du Toit J, Langerak T, van Bussel B, van Gorp E, Goeijenbier M. Thrombocytopenia in virus infections. J Clin Med. 2021;10(4):877. https://doi.org/10.3390/jcm10040877

Vaughan JL, Fourie J, Naidoo S, Subramony N, Wiggill T, Alli N. Prevalence and causes of thrombocytopenia in an academic state sector laboratory in Soweto, Johannesburg, South Africa. S Afr Med J. 2015;105(3):215-219. https://doi.org/10.7196/SAMJ.8791

Provan D, Stasi R, Newland AC, Blanchette VS, Bolton-Maggs P, Bussel JB, et al. International consensus report on the investigation and management of primary immune thrombocytopenia. Blood. 2010;115(2):168-186. https://doi.org/10.1182/blood-2009-06-225565

Williamson DR, Albert M, Heels-Ansdell D, Arnold DM, Lauzier F, Zarychanski R, et al. Thrombocytopenia in critically ill patients receiving thromboprophylaxis: frequency, risk factors, and outcomes. Chest. 2013;144(4):1207-1215. https://doi.org/10.1378/chest.13-0121

Bain BJ. Diagnosis from the blood smear. N Engl J Med. 2005;353(5):498-507. https://doi.org/10.1056/NEJMra043442

Zeuner A, Signore M, Martinetti D, Bartucci M, Peschle C, De Maria R. Chemotherapy-induced thrombocytopenia derives from the selective death of megakaryocyte progenitors and can be rescued by stem cell factor. Cancer Res. 2007;67(10):4767-4773. https://doi.org/10.1158/0008-5472.CAN-06-4303

Paras S, Dalwani AG, Ahmed S, Khaskheli GA, Dal NA, Khan G. Postoperative port site early complications of laparoscopic cholecystectomy. J Surg Pak. 2021;26(2):79-83. https://doi.org/10.21699/jsp.26.2.9

Memon RJ, Qureshi ZZ, Shah FH, Laghari M. Port-site related complications and their management in patients undergoing laparoscopic cholecystectomy. J Islamabad Med Dent Coll. 2018;7(3):208-212. No

Mudgal MM, Kothiya PK, Kushwah N, Singh R. Port site complications following laparoscopic surgeries: a prospective study. Int Surg J. 2018;5(2):598-601. https://doi.org/10.18203/2349-2902.isj20180158

Sultan AI, Ali SH, Ghareeb OA. Port site consequences after laparoscopic cholecystectomy using an open versus closed approach of pneumoperitoneum. Cureus. 2022;14(7):e26499. https://doi.org/10.7759/cureus.26499

Rehman UA, Qadir MR, Hamid T, Ahmed K, Nasar AR. Early port site complication after laparoscopic cholecystectomy. Pak J Med Health Sci. 2021;15(3):524-527.

Usman J, Janjua A, Ahmed K. The frequency of port-site infection in laparoscopic cholecystectomies. Pak J Med Health Sci. 2016;10(4):1324-1326.

Bhavikatti AB, Bharath GR, Greeshma KM, Deepa T, Vinay Kumar M. Postoperative port-site pain after gallbladder extraction in patients undergoing laparoscopic cholecystectomy through epigastric port vs umbilical port: a randomized control study. Eur J Cardiovasc Med. 2025;15(9):197-202. https://doi.org/10.61336/ejcm/25-09-32

Taj MN, Iqbal Y, Akbar Z. Frequency and prevention of laparoscopic port site infection. J Ayub Med Coll Abbottabad. 2012;24(3-4):197-199.

Papadakis M, Ambe PC, Zirngibl H. Critically ill patients with acute cholecystitis are at increased risk for extensive gallbladder inflammation. World J Emerg Surg. 2015;10:59. https://doi.org/10.1186/s13017-015-0054-1

El Zanati H, Nassar AHM, Zino S, Katbeh T, Ng HJ, Abdellatif A. Gall bladder empyema: early cholecystectomy during the index admission improves outcomes. JSLS. 2020;24(2):e2020.00015. https://doi.org/10.4293/JSLS.2020.00015

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Published

2025-06-30

How to Cite

Ahmad, J. ., & Shah, M. . (2025). Postoperative Port Site Complications of Patient Undergoing Laparoscopic Cholecystectomy. Biological and Clinical Sciences Research Journal, 6(6), 649–652. https://doi.org/10.54112/bcsrj.v6i6.2123

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Section

Original Research Articles