Laparoscopic Cholecystectomy: Preliminary Report Of 26 Cases By Reviewing Literature

Abstract

Current reports show that laparoscopic cholecystectomy is the method of choice for gall-bladder diseases. Morbidity and mortality rates are comparable with open cholecystecto-my. Serious complications are conversion from laparoscopic cholecystectomy to open pro¬cedure, injuries of biliary duct or gastrointestinal tract, uncontrolled bleeding, and subhepatic collections. In this report, 26 cases treated laparoscopically in our clinic, are presented. Conversion from laparoscopic cholecystectomy to open procedure was perfor-med in 4 patients. In the first case, conversion was carried out because of an extrahepatic biliary anomaly. Choledochal injury was confirmed and treated by choledochojejunostomy. In the other cases, difficulties in the dissection of Calot's triangle was the cause of conversion. Postoperative morbidity was 4.54%. Relevant literature is reviewed. Son yıllarda laparoskopik koleslstektoml, bilyer cerrahide yeğlenen tedavi yöntemi olmuştur. Morbidité ve mortalité oranlan konvensiyonel cerrahi kadardır. Açık girişime dönme gerekliliği, bilyer ve gastrointestinal sistem yaralamaları, kontrol edilemeyen kana-malar, subhepatik kolleksiyon ciddi komplikasyonlan oluşturur. Bu yazıda, kliniğimizde laparoskopik kolesistektomi yöntemiyle tedavi edilmiş 26 vaka sunuldu. Safra yolları ano-malisi olan bir ve akut kolesistite bağlı olarak Calot üçgeninde disseksiyon güçlüğü sapta-nan üç hastada açık kolesistektomiye dönüldü. Anomalisi olan hastada safra yolları yara-lanması saptandı. Postoperatif morbidité %4.54 bulundu. Konu ile ilgili literatür gözden geçirildi.

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