Objective: To evaluate the outcome after laparoscopic cholecystectomy in terms of these complications in our setup. Study Design: Descriptive cross-sectional study. Setting: Department of General Surgery, MTI-Lady Reading Hospital Peshawar. Period: July 2018 to June 2019. Material & Methods: A total of 115 patients undergoing laparoscopic cholecystectomy were enrolled in this study and were assessed for the development of various postoperative complications. Results: The mean ± SD age of study participants was 45.92±5.41 years. Females (n=67; 58.2%) outnumbered males (n=48; 41.7%) in this study. Most common complication was port site infection noted in 7 patients (6.1%) with gall bladder perforation being second most common complication observed in 6 patients (5.2%). Post-operative fever was noted in 4 patients (3.5%). Conclusion: In our study the majority of patients undergoing laparoscopic cholecystectomy recovered uneventfully without any mortality. Port site infection was the most common complication and gall bladder perforation was found to have statistically significant association with all the complications.

Objective: To determine the early outcomes of laparoscopic sleeve gastrectomy with respect to weight loss and amelioration of comorbid conditions in morbidly obese patients. Study Design: Prospective descriptive study. Place and Duration of Study: MTI-Lady Reading hospital Peshawar and Royal Imperial hospital Swat from January 2018 to January 2020. Materials and Methods: Total thirty-eight morbidly obese patients of either sex with age range of 25-65 years were included in this study. Informed written consent was taken from all the patients and their demographic details such as age, sex and comorbid conditions were recorded. All the patients underwent laparoscopic sleeve gastrectomy. Preoperative and postoperative data such as body mass index, total & excess weight loss and impact on comorbidities were analyzed. Bariatric Analysis and Reporting Outcome System (BAROS) scoring system was used to analyze the outcomes. Follow-up was taken at 1 year post-operatively. Results: Majority were female 25 (65.8%) patients and 13 (34.2%) males with mean age of 45.39±9.64 years. Comorbidities such as hypertension, diabetes mellitus, hyperlipidemia and obstructive sleep apnoea were recorded in 13.2%, 26.3%, 7.9% and 10.53% patients respectively. Mean excess body weight loss (EWL) was 60.25±12.7 kg and mean body mass index loss was 15.14+9.33 kg/m2at 1 year follow up. Postoperative systolic blood pressure improvement was observed in 23 (60.5%) patients. A significant improvement was observed regarding diabetes mellitus (preoperatively mean HbA1C 9.7±5.9 vs postoperatively mean HbA1C 4.42±3.6) p-value <0.001. According to the BAROS score, 5 (13.3%) showed excellent, 14 (36.8%) showed very good, 17 (44.74%) showed good, 2 (5.3%) showed fair and no patient showed poor outcomes. Satisfaction rate among patients was 94.7%. Conclusion: Laparoscopic sleeve gastrectomy is an excellent procedure both in terms of weight loss and amelioration of comorbid conditions in morbidly obese patients. Key words: Sleeve gastrectomy, Laparoscopic, Excess body weight loss, Morbid obesity