ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Evaluation Of 1000 Laparoscopic Cholecystectomiesperformed In One Institution
Arif Zeki AKAT*, Mutlu DOĞANAY*, Murat KOLOĞLU*, Uğur GÖZALAN*,Gül DAĞLAR*, Nuri Aydın KAMA**
*Op.Dr., Ankara Numune Eğitim ve Araştırma Hastanesi 4.Cerrahi Kliniği,** Doç.Dr., Ankara Numune Eğitim ve Araştırma Hastanesi 4.Cerrahi Kliniği, ANKARA
Laparoscopic cholecystectomy (LC) has become the standard treatment method of cholelithiasis. In this study our aim was to evaluate the factors affecting conversion rates, complication rates and operation times. This study was performed at Ankara Numune Education and Research Hospital, 4th Department of SurgeryWe have evaluated our first 1000 LC cases. The parameters included in the analyses were age, gender, presence of acute cholecystitis, previous abdominal surgery, concomitant diseases, liver function tests, experience of the surgeon, additional operations, findings on ultrasonography, and endoscopic retrograd cholangiopancreatography. Consecutive univariate and multivariate analyses were applied to this parameters to evaluate their effect on conversion rates, complication rates and operation times. The conversion rate was 4.8%. The factors increasing the risk of conversion were male gender, previous abdominal surgery, acute cholecystitis, inexperienced surgeon, and increased gallbladder wall thickness on ultrasonography. Major operative complication rate was 3.1%. The most important risk factors for occurence of complications were older age and acute cholecystitis. Mean operation time was 53.5 minutes. The independent factors increasing operation time were acute cholecystitis and inexperienced surgeon. Today, there is no absolute contrendication for LC. But when there is difficulty in dissection (especially acute cholecystitis), surgeon has to decide for convertion to open surgery at the right time regarding his experience, to minimize the complication risk.Keywords: Laparoscopic cholecystectomy, Operation time, Conversion, ComplicationTurkiye Klinikleri J Med Sci 2002, 22:133-141
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