Author:
Stanisic Veselin,Bakic Milorad,Magdelinic Milorad,Kolasinac Hamdija,Babic Igor
Abstract
Introduction. Laparoscopic cholecystectomy is a method of choice for surgical
treatment of diseases of gallbladder. Although most surgeons today use
laparoscopic cholecystectomy in treatment of severe acute cholecystitis, most
surgeons still consider acute cholecystitis a relevant contraindication for
laparoscopic cholecystectomy because of ?confused? anatomy and ?severe?
pathology. Aim of the study was to analyze laparoscopic cholecystectomy
outcomes in treatment of acute cholecystitis. Material and methods. A
prospective analysis included 78 patients operated for acute calculose
cholecystitis from Jan 2007 to Dec 2008. We analyzed clinical characteristics
of the course of disease, associated diseases, duration of operation,
operative and postoperative complications, reasons for conversion into open
cholecystectomy. Results. The study indicated a low percentage of operative
and postoperative complications, short stay in hospital, quick recovery and
saving in treatment. The length of preoperative and postoperative
hospitalization was 1.4?0.5 days and 2.5?1.6 days, respectively. 25 (32%)
patients were operated within 72 hours from the onset of symptoms, some
operative difficulties were present in 56 (71%) patients, light
identification of artery and ductus cysticus in 30 (38.5%) patients,
intraoperative lesion of ductus choledohus in 1 (1.3%); in 6 (7.7%) patients
conversion into open cholecystectomy was done, the average duration of
laparascopic cholecystectomy was 58.1?26.2 min. There were no lethal
outcomes. Conclusion. Laparoscopic cholecystectomy is an efficient and
reliable operative procedure in treatment of acute cholecystitis. It is much
easier to select patients for laparoscopic cholecystectomy when preoperative
risk factors predicting difficulties during the operation are known. An early
conversion into open cholecystectomy is a rational choice of any surgeon when
anatomy is not clear and in cases of advanced inflammatory process in order
to decrease operative and postoperative morbidity.
Publisher
National Library of Serbia
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献