Direct Gall Bladder Retrieval Versus Endo-bag Technique: A Comparison of Postoperative-Operative Outcomes Following Laparoscopic Cholecystectomy

Objectives

To compare the effectiveness of using sterile surgical gloves as an endo-bag to remove the gall bladder through the epigastric port in laparoscopic cholecystectomy as compared to the direct removal in terms of rate of bile spillage and post-operative pain.

Study Design

Prospective Cohort Study.

Setting

Department of Surgery, Khyber Teaching Hospital, Peshawar.

Duration

From 1st January 2023 to 31st Decembers, 2023.

Methodology

After attaining approval from the Hospital ethical committee, 100 patients meeting the inclusion criteria were included in the study. The patients were equally allocated in two groups. Group A (direct removal of gall bladder) and Group B (removal of gall bladder using a sterile glove as an endo bag). Results were analyzed on Statistical Package for Social Sciences (SPSS) Version 23 and depicted in the form of description and statistical tables and charts.

Results

Out of our population sample, 83 (83%) patients were females and 17 (17%) were males with a mean age of 38.3 and a SD +_ 1.46. Overall, gall bladder spillage was observed in 15 patients with 11 cases in group A and 4 in group B. Association of group of the patients with rate of gall bladder spillage (p-value 0.012) and post-operative pain at day 3 on VAS (p-value 0.05) was statistically significant.

Conclusion

Therefore, gallbladder removal, with the help of a sterile endo-bag is a safer technique compared to direct extraction as far as post-operative outcomes are concerned.