Publication:

A prospective comparative study of retrieval of gall bladder using endobag and without endobag in laparoscopic cholecystectomy

Background Laparoscopic cholecystectomy (LC) is the gold standard for the management of symptomatic gallstone disease. However, intraoperative gallbladder perforation, bile spillage, and gallstone dissemination may increase the risk of port-site infection (PSI). The use of an endobag during specimen retrieval has been proposed to reduce these complications, but its routine necessity remains debated.

Methods This prospective comparative study included patients undergoing elective laparoscopic cholecystectomy. Participants were randomized into two groups: group A (endobag used for gallbladder retrieval) and group B (direct extraction without endobag). Outcomes assessed included bile spillage, port-site infection, operative time, and postoperative hospital stay. Statistical analysis was performed using appropriate parametric and non-parametric tests, with a p<0.05 considered statistically significant.

Results Port-site infection occurred significantly less in the endobag group compared to the non-endobag group. Intraoperative bile and stone spillage were also significantly reduced in group A. No statistically significant difference was observed in operative time or duration of hospital stay between the two groups.

Conclusions The use of an endobag during laparoscopic cholecystectomy significantly reduces port-site infection and intraoperative bile spillage without increasing operative time or hospital stay. Routine use of an endobag is recommended, especially in high-risk patients.