iarjsIARJSIARJS2789-6102https://doi.org/10.47310/iarjs.2022.v02i01.005Incidence of perforation of gall bladder during laparoscopic cholecystectomy and its associated factors: A cross sectional study in a tertiary care hospitalUmaSharmaManishSharmaBackground: Present study was done to evaluate the Incidence of perforation of gall bladder during laparoscopic cholecystectomy and its associated factors.  Material and Methods: This   prospective  study    was conducted in the Department of General Surgery, IGMC, Shimla. 100 consecutive    patients  of   symptomatic   gallstones  with   the   documented gallstones undergoing laparoscopic cholecystectomy between July2011 to March 2012 were   included in the   study and a study of gall bladder perforation was done.  Results: Majority of patients in this study were females and were in age group of 31- 40 years. Gall bladder perforation was present in 27.83% of patients. Gall bladder perforation was more common in males and in age group of 61- 70 years. Gall bladder perforation occurred during grasping in 44.4 % patients and during dissection from liver bed in 37.04% patients. Gall bladder perforation was more common in case of distended gallbladder with omental adhesions (9 out of 22 patients) and in patients with partly intrahepatic gallbladder (4 out of 8 patients). Conclusion: Gallbladder perforation is common intra-operative phenomenon, more common in males & in older age group. Perforation is more common in gallbladder having adhesion with omentum and if gallbladder is partly intra-hepatic.