Difficulties in Laparoscopic Cholecystectomy, Local Experience
DOI:
https://doi.org/10.51984/1bkf2y63الكلمات المفتاحية:
Difficult laparoscopic cholecystectomy، Conversion، Acute pancreatitis، Acute cholecystitis، Technical difficultiesالملخص
A retrospective review is aimed to evaluate the difficulties encountered during laparoscopic cholecystectomy (LC) and local factors influencing the conversion. The data collected from 300 patients had LC over one year period, in relation to clinical presentation. Twenty two cases were converted to open cholecystectomy. The reasons for conversion were difficult anatomy in 50%, bleeding 41%, and 9% due to individual center related factors. It was evident that the conversion rate was high especially in cases with acute cholecystitis and post biliary pancreatitis.
In conclusion, a learning curve is required to build up the experience and it should be organized and phased. Laparoscopic surgery should be done in an optimized environment. LC for acute cholecystitis must not be delayed beyond 72 hours.
التنزيلات
المراجع
Addison NV, Finan PJ. Urgent and early cholecystectomy for acute gallbladder disease. Br J Surg. 1988; 75: 141-143.
Berkun JS, et al. Laparoscopic vs. open cholecystectomy: The Canadian experience. Am J Surg 1993; 165: 455-458.
Geoghegan JG, Keane FBV. Laparoscopic management of complicated gallstone disease. Br J Surg. 1999; 86(2): 145-146.
Ishizaki Y, Miwa K, Yoshimoto J, Sugo H, Kawasaki S. Conversion of elective laparoscopic to open cholecystectomy between 1993 and 2004. Br J Surg 2006; 93:987-991.
Knight JS, Mercer SJ, Somers SS, Walters AM, Sadek SA, Toh SK. Timing of urgent laparoscopic cholecystectomy does not influence conversion rate. Br J Surg 2004; 91:601-604
McMahon AJ, Baxter JN, O'Dwyer PJ. Preventing complications of laparoscopy. Br J Surg 1993; 80: 1593-1594.
Papi C, Catarci M, D'Ambrosio L, Gili L, Koch M, Grassi GB et al. Timing of cholecystectomy for acute calculous cholecystitis: a meta-analysis. Amj Gastroenterology 2003; 99: 147-155.
Schwesinger WH, Diehl AK. Changing indications for laparoscopic cholecystectomy. Surg Cl of North America 1996; 76(3): 493-504.
Soper NJ, et al. Laparoscopic cholecystectomy: The new "gold standard Arch Surg 1992; 127: 917-921.
Widdison AL, Norton S, Armstrong CP. Open cholecystectomy in the age of the laparoscope. Annals of the Royal College of surgeons of England 1995; 77: 256-258.
Schirmer BD, Edge SB, Dix J, et al. Laparoscopic cholecystectomy : treatment of choice for symptomatic cholelithiasis. Ann Surg 1999; 213: 665-6770
Koo KP, Thirlby RC. Laparoscopic cholecystectomy in acute cholecystitis. Arch Surg 1996:131: 540-545.
Scott M. Wiesen, Stephen W. Unger, Jamie S. Barkin, et al. Laparoscopic cholecystectomy: the procedure of choice for acute cholecystitis. Am J Gast. 1993;88: 334-337.
Rattner DW, Ferguson C, Warshaw A. Factors associated with successful laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 1993;217: 233-236.
Zuker KA, Flowers JL, Baily RW, et al. Laparoscopic management of acute cholecystitis. AM J Surg 1993;165: 508-514.
McSherry CK, Ferstebgerg H, et al. The natural history of diagnosed gallstone disease in symptomatic and asymptomatic patients. Ann Surg 1985;202:59.
Seifert E. Endoscopic papillotomy and removal of gallstones. Am J Gastroenterol 1988;69:154.
التنزيلات
منشور
إصدار
القسم
الرخصة
نُشر هذا المقال بالوصول المفتوح بموجب رخصة المشاع الإبداعي: نَسب المُصنَّف – غير تجاري – الترخيص بالمثل 4.0 دولي (CC BY-NC-SA 4.0). يجوز نسخه وإعادة توزيعه وتعديله والبناء عليه لأغراض غير تجارية، شريطة نسبته إلى مؤلفيه، والإشارة إلى نشره الأول في مجلة العلوم الطبية مع رقم المعرّف الرقمي (DOI)، وبيان أي تعديلات، وتوزيع أي عمل مشتق بموجب الرخصة نفسها. حقوق التأليف والنشر محفوظة للمؤلفين. لطلبات الاستخدام التجاري يُرجى التواصل مع المؤلف المراسل. الشروط الكاملة: https://sebhau.edu.ly/journal/joms/copyright-licensing
