Does seliction exist in laparoscopic cholecystectomy ? : a personal veiw of 110 patients

الملخص EN

A prospective study included 110 patients with gallbladder pathology, diagnosed on clinical bases and rasonic examination and proved by intra operative finding and histopatological evaluation of the removed llbladders.

The aim of this study is to know wither the selection of the surgical procedure (open or laparoscopic Dlecystectomy) has an effect on decreasing the intra and postoperative complication and increasing the ;cess rate of laparoscopic cholecystectomy.

Open cholecystectomy was performed to 35 patients because of: Cardiac problem that cannot withstand abdominal insufflation.

Associated intra abdominal pathology.

Previous multiple abdominal operations.

» complicated cholecystitis inform of empayema or gangrenous cholecystitis, presence of common bile duct >ne, or exceeding three days from the last attack with out response to medical treatment.

Refusal of laparoscopic cholecystectomy by the patients.

Seventy five patients underwent laparoscopic cholecystectomy, the intra and post operative mplications were recorded as well as the success rate of the operation which compare with other studies.

The study concluded that selection is exist and it is decrease the intra and post operative complications d increase the success rate of the operation.