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Laparoscopic cholecystectomy; it’s complications and causes of conversion to open cholecystectomy
المؤلف
المصدر
Journal of the Faculty of Medicine Baghdad
العدد
المجلد 55، العدد 4 (31 ديسمبر/كانون الأول 2013)، ص ص. 296-301، 6ص.
الناشر
تاريخ النشر
2013-12-31
دولة النشر
العراق
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Background: The laparoscopic cholecystectomy is the gold standard for treating the symptomatic cholelithiasis.
Conversion is sometimes necessary due to finding unexpected pathology,intraoperative complications or unexpected technical errors .
Objectives: The aims of this study were to determine the complications and the predictive factors of conversion in patients undergoing laparoscopic cholecystectomy for various indications in elective and acute settings in a general hospital in order to reduce the incidence rates of both , complications and conversion of laparoscopic cholecystectomy to the open technique .
Patients and Methods: This is a prospective study included 128 patients [their ages ranged froml8 -65 years; the mean =39.60 ± 11.37 SD years],Female patients were 111 (86.7 ) ,male patients were 17 (13.3 % ).
These patients underwent a laparoscopic cholecystectomy in AL-Karama Teaching Hospital / College of Medicine / Wasit University-lraq,from April 2011 till December 2012.
Recorded data were sex, age, indications for laparoscopic cholecystectomy , complications, conversion to the open technique , reasons of conversion, co- morbidity , length of the hospital stay and 30- day mortality.
Results: The intraoperative complications were; bleeding from the cystic artery in 9 patients (7.03 %), perforation of the gallbladders in 17 patients (13.28% ) and spillage of the stones from cystic duct stump inl2 patients( 9.37% ).A11 these complications were successfully treated laparoscopically.This study has no postoperative complications during follow-up period .
Conversion from a laparoscopic cholecystectomy to an open cholecystectomy was performed for 7 patients ( 5.49 % ).
The reasons for conversion were ; dense fibrosis of Calot’s triangle in two patients ( 1.56 % ) and one patient(0.78 % ) for each of the following pathologies : cholecystoduodental fistula ,postoperative adhesions , impacted stone in the cystic duct , Mirrizzi’s syndrome and incidental CBD stone.The intaoperative findings and postoperative histopathologic diagnoses were: 114 patients( 89.1 % ) with chronic calculous cholecystitis, 5 patients ( 3.9 % ) with acute calculous cholecystitis, 5 patients( 3,9 % ) with empyema of the gall bladder, 4 patients (3.1 % ) with mucocele of the gall bladder .There was no mortality in this study .
Conclusions: In this study,there were simple complications being laparoscopically treated .Male gender, age older than 50 years that were associated with dense fibrosis of Calot’s triangle , postoperative upper abdominal adhesions,cholecystoduodenal fistula Mirrizi ’syndrome ,impaced stones in the cystic duct and incidental CBD stone were the main factors of conversion .
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Zahiri, Jawad K.. 2013. Laparoscopic cholecystectomy; it’s complications and causes of conversion to open cholecystectomy. Journal of the Faculty of Medicine Baghdad،Vol. 55, no. 4, pp.296-301.
https://search.emarefa.net/detail/BIM-380380
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Zahiri, Jawad K.. Laparoscopic cholecystectomy; it’s complications and causes of conversion to open cholecystectomy. Journal of the Faculty of Medicine Baghdad Vol. 55, no. 4 (2013), pp.296-301.
https://search.emarefa.net/detail/BIM-380380
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Zahiri, Jawad K.. Laparoscopic cholecystectomy; it’s complications and causes of conversion to open cholecystectomy. Journal of the Faculty of Medicine Baghdad. 2013. Vol. 55, no. 4, pp.296-301.
https://search.emarefa.net/detail/BIM-380380
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 300-301
رقم السجل
BIM-380380
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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