Spectrum of hepatobiliary surgeries in Indira Gandhi Medical College, Shimla

Abstract

Majority of the hepato-biliary surgeries are performed for benign conditions of all the common benign conditions, surgeries for gall stone disease makes the major share of surgeries. Malignant conditions comprise less than 5% of the hepato-biliary diseases. We intended to do a specific study in a tertiary care centre in IGMC, Shimla to ascertain the burden of diseases and its surgical management. The procedures covered both benign and malignant conditions. Total number of elective surgeries performed during the study period were 7680, out of which 5278 (68.7%) belong to hepato-biliary surgeries. 5226 surgeries were performed for benign and 52 were performed for malignant diseases.Laparoscopic cholecystectomy was the most commonly performed surgery. It is to be ascertained and requires further validation as to why such number of abnormally high cases of gall stone disease is prevalent in our institute and so is the incidence of gall bladder malignancy.