Laparoscopic cholecystectomy in acute gangrenous cholecystitis

The clinic, laboratorial, intraoperative, and morphologic findings of 482 patients with acute gangrenous cholecystitis have been studied. There were 162 men (33.6%) and 320 (67.4%) women at the age of 15-91 years, with average 55.3 ± 6.5 years old. 218 patients were operated by laparoscopic method,...

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Bibliographic Details
Published inMedical and health science journal Vol. 5; pp. 43 - 48
Main Authors Khadjibaev, Abdukhakim, Atajanov, Shukhrat, Khadjibaev, Farkhod, Anvarov, Khikmat
Format Journal Article
LanguageEnglish
Published Prague Development Center 01.01.2011
Subjects
Care and treatment
Cholecystectomy
Cholecystitis
Health aspects
Laparoscopic surgery
Laparoscopy
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Summary:The clinic, laboratorial, intraoperative, and morphologic findings of 482 patients with acute gangrenous cholecystitis have been studied. There were 162 men (33.6%) and 320 (67.4%) women at the age of 15-91 years, with average 55.3 ± 6.5 years old. 218 patients were operated by laparoscopic method, traditional access was provided in 264 patients. Conversion was performed in 17 from 218 cases (7.8%). Postoperative complications made 8.3% and 13.6% in both groups respectively. Intraoperative complication during laparoscopic cholecystectomy (common bile duct injury) occurred in 1 (0.46%) patient operated at the fifth day since the commencement of disease. Conversions and complications reduction was provided by the offered technical improvements of laparoscopic cholecystectomy such as a change of the points of trocars injection, using the modified instruments for the tissues dissection, gallbladder mobilization and hemostasis. Keywords: Cholelithiasis, acute gangrenous cholecystitis, laparoscopic cholecystectomy. UDC: 616.366-002.1:66.381-002-089.87
ISSN:1804-1884
1804-5014
DOI:10.15208/mhsj.2011.80