scholarly journals Early complications of laparoscopic cholecystectomy

2021 ◽  
Vol 25 (1) ◽  
pp. S333-S333
Author(s):  
Myltykbay RYSMAKHANOV ◽  
Bazylbek ZHAKIYEV
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Early Complications ◽  
Complications Of Laparoscopic Cholecystectomy

scholarly journals The impact of surgical experience on complications of laparoscopic cholecystectomy

2020 ◽  
Vol 4 (Issue 1) ◽  
pp. 12
Author(s):  
M. Mamakeev ◽  
R. Zhortuchiev ◽  
Alymkadyr Beyshenaliev ◽  
K. Niyazbekov
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Strong Association ◽  
Surgical Team ◽  
Surgical Experience ◽  
Early Complications ◽  
Conversion Rates ◽  
Complications Of Laparoscopic Cholecystectomy ◽  
The Impact ◽  
Adequate Management ◽  
Group 1

Objective: Laparoscopic cholecystectomy (LC) is the gold standard option for the surgical treatment of cholecystitis. Meanwhile, experience of surgical center and operator play central role in adequate management of patients with gallbladder disorders. The aim of this study is to analyze complications and conversion rates of laparoscopic cholecystectomy at various periods of implication of the method in a single center. Methods: We retrospectively analyzed early complications of 6381 patients operated due to various forms of cholecystitis according to periods of implication of LC in Kyrgyz National Center of General Surgery (1996-2019). Patients were divided into 3 groups:  first group of patients were operated from 1996 to 2004 during first implementation of technique (n=1446); second group patients underwent operation between 2005-2008, when operators concentrated on technical skills (n=1225); third group of patients operated between 2009 and 2019, when surgical team concentrated on prevention of complications. Results: Both complication and conversion cases represented strong association with surgical experience. The highest complications (4.8% vs 1.5% and 0.4%, respectively, p<0.001) and conversion to surgical cholecystectomy (11.2% vs 1.5% and 0.1%, respectively, p=0.001) rates were detected in group 1 as compared to groups 2 and 3. Conclusion: Occurrence of complications and conversion to conventional surgical cholecystectomy reduced over time, depending on surgical experience of operating team and practice of operator.   

scholarly journals Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

2017 ◽  
Vol 5 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Tapash Kumar Maitra ◽  
Mahmud Ekram Ullah ◽  
Faruquzzaman ◽  
Samiran Kumar Mondol
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Invasive Technique ◽  
Favorable Result ◽  
Age Group ◽  
Open Conversion ◽  
Female Patients ◽  
Complications Of Laparoscopic Cholecystectomy

Background: The technique of laparoscopic surgery has rapidly become popular because of its several advantages over conventional open surgery. The reduction of postoperative pain provided positive human impact, and the reduction of length of hospital stay as well as the earlier return to work generated a positive socioeconomic impact. However, in spite of being a minimally invasive technique, this procedure has different peroperative and postoperative complications which cannot be disregarded.Objective: To evaluate the complications of laparoscopic cholecystectomy in symptomatic and asymptomatic cholelithiasis and other benign gall bladder diseases.Methodology: 172 patients who underwent laparoscopic cholecystectomy were included in this prospective study on the basis of non-randomized convenient sampling from a period of September 30, 2014 to September 30, 2016 in BIRDEM General Hospital, Dhaka, Bangladesh. Data of the patients regarding outcomes and complications were analyzed.Result: Results of this study suggests that 35.5% cases were male and 64.5% patients were female. In male group, most of the patients (18.0%) were in 41-50 years of age group followed by 9.9% in 51-60 years age group, whereas among the female patients these were 33.1% and 15.7% respectively. Mean±SD of age were46±1.7 and 42±1.3 years in case of male and female patients respectively.In 119 (69.2%) out of total 172 cases, laparoscopic cholecystectomy was done for chronic cholecystitis and in 18.6% (32 out of total 172) cases, it was performed for acute cholecystitis. Intra-operative bile leak(11.0%) was found to be the most frequent complications during laparoscopic cholecystectomy. The incidence rates of perforation of gall bladder, stone spillage were 9.3% and 5.2% respectively. Trocar site, vascular, and hepatic bed hemorrhages were 7.0%, 4.7% and 4.0% respectively. Open conversion was done in 17 cases (9.9%). Port site infection and post cholecystectomy syndrome developed in 5.2% and 4.7% cases respectively. The overall mortality was approximately 1.1%. Serious complications likebowel injury and bile duct injury were recorded in 0.6% and 1.2% cases respectively.The results of this study suggest that gender, age, co-morbidities, previous abdominal surgery, acute cholecystitis, obesity, thickened gall bladder wall on ultrasound, history of preoperative ERCPare probablyimportant and clinically significant relevant factors for open conversion of laparoscopic cholecystectomy.Conclusion: In our study, complications of laparoscopic cholecystectomy were similar to those of different centres in western countries. We found laparoscopic cholecystectomy as a safe and effective procedure in almost all patients with cholelithiasis. Proper preoperative work up, awareness of possible complications and adequate training on laparoscopic technique make this operation a safe procedure with favorable result and lesser complications.Bangladesh Crit Care J March 2017; 5(1): 11-16

scholarly journals Thromboembolic complications of laparoscopic cholecystectomy.

BMJ ◽  
1993 ◽  
Vol 306 (6876) ◽  
pp. 518-519 ◽  
Author(s):  
J O Jorgensen ◽  
K Hanel ◽  
N J Lalak ◽  
D R Hunt ◽  
L North ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Thromboembolic Complications ◽  
Complications Of Laparoscopic Cholecystectomy
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