The effect of laparoscopic devices on cholecystectomy surgeries

Öz

Laparoskopik cihazlar cerrahide birçok alanda önemli etkiler yarattığı gibi, safra kesesi ameliyatlarınıda büyük ölçüde etkilemiştir. Bu nedenlerle çalışmamızda laparoskopik kolesistektominin safra yolu yaralanmaları ve cerrahi tedavisi üzerindeki etkileri ile ilgili makaleler analiz edilmiş ve değerlendirilmiştir. Çalışmamızın sonucunda güvenli cerrahi koşulların sağlanması, safra yollarının ameliyattan önce görünür hale getirilmesi ve bu ameliyatların hepatobiliyer cerrahi konusunda uzman kişiler tarafından yapılmasının laparoskopik cihazlarla BDI oranlarını önemli ölçüde azaltabileceği gösterilmiştir. Ayrıca erken cerrahi müdahale, majör yaralanmalarda Roux en-Y hepatobiliyer anastomoz tekniği ve laparoskopik ve robotik cerrahi safra yolu yaralanmalarında 3 boyutlu görüntüleme ile daha başarılı sonuçlar verebilmektedir. Yaptığımız çalışmanın sonuçlarına göre; Laparoskopik cihazlar kolesistektomi ameliyatlarında heyecan verici gelişmelere yol açmıştır. Karın duvarı açılmadığı için ameliyat süreleri önemli ölçüde kısalmış ve mükemmel kozmetik sonuçlar elde edilmiştir. Öte yandan bu yöntemle 3 boyutlu görüş sağlanamadığı için safra yolu yaralanmaları gibi ciddi komplikasyonların görülme sıklığında artış olmaktadır.

Anahtar Kelimeler

• Laparoscopic devices
• cholecystectomy
• bile ducts
• injury.

The Effect of Laparoscopic Devices on Cholecystectomy Surgeries

Öz

Laparoscopic devices have had significant effects in many areas of surgery, and have also greatly affected gallbladder surgeries. Aim and method: For these reasons, to investigate the effect of laparoscopic devices on bile duct injuries and surgical treatment; articles published on this subject were analyzed and evaluated in our study. As a result of our study, it was shown that providing safe surgical conditions, making the bile ducts visible before surgery, and performing these surgeries by experts in hepatobiliary surgery can significantly reduce BDI rates with laparoscopic devices. In addition, early surgical intervention, Roux en-Y hepatobiliary anastomosis technique in major injuries, and laparoscopic and robotic surgery can provide more successful results with 3D imaging in bile duct injuries. Conclusion: According to the results of our study; laparoscopic devices have led to exciting developments in cholecystectomy surgeries. Since the abdominal wall is not opened, surgery times have been significantly shortened and excellent cosmetic results have been obtained. On the other hand, since 3D vision cannot be provided with this method, there has been an increase in the incidence of serious complications such as bile duct injuries. Therefore, it would be more appropriate to use safe surgical methods in laparoscopic cholecystectomies.

Anahtar Kelimeler

• Laparoscopic devices
• cholecystectomy
• bile ducts
• injury.

Kaynakça

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