Email this article The experience of introducing laparoscopic cholecystectomy in the Republican hospital
- Authors: Katanandova К.V.1,2, Mariev А.I.1,2, Ushakov N.D.1,2, Shornikov V.A.1,2, Gribkov А.I.1,2
-
Affiliations:
- Petrosavodsk State University
- Republican hospital named after V. A. Baranov
- Issue: Vol 5, No 1 (2005)
- Pages: 88-92
- Section: Clinical medicine
- Published: 27.02.2005
- URL: https://journals.eco-vector.com/MAJ/article/view/693486
- ID: 693486
Cite item
Open Access
Access granted
Subscription or Fee Access
Abstract
10-year experience of laparoscopic cholecystectomy in 4469 patients is presented in the article. Severe intraoperative complications were observed in 47 patients (1,1%). The most common complication was the trauma of extrahepatic bile ducts. Conversion was necessary in 112 cases (2,5%), 33,9% of conversions were due to the intraoperative complications. The major risk factors of intraoperative complications are: intrahepatic gallbladder, massive intraperitoneal adhesions, choledocholithiasis, acute cholecystitis. The rate of conversion and the number of severe intraoperative complications depend on surgeon’s experience («learning curve»).
Keywords
About the authors
К. V. Katanandova
Petrosavodsk State University; Republican hospital named after V. A. Baranov
Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, Petrosavodsk; Petrosavodsk
А. I. Mariev
Petrosavodsk State University; Republican hospital named after V. A. Baranov
Email: shabanov@mail.rcom.ru
Russian Federation, Petrosavodsk; Petrosavodsk
N. D. Ushakov
Petrosavodsk State University; Republican hospital named after V. A. Baranov
Email: shabanov@mail.rcom.ru
Russian Federation, Petrosavodsk; Petrosavodsk
V. A. Shornikov
Petrosavodsk State University; Republican hospital named after V. A. Baranov
Email: shabanov@mail.rcom.ru
Russian Federation, Petrosavodsk; Petrosavodsk
А. I. Gribkov
Petrosavodsk State University; Republican hospital named after V. A. Baranov
Email: shabanov@mail.rcom.ru
Russian Federation, Petrosavodsk; Petrosavodsk
References
- Борисов А. Е., Левин Л. А., Кубачев К. Г., Лисицин А. А. Осложнения лапароскопической холецистэктомии // Протокол 2176-го заседания хирургического общества Пирогова. Вестник хир. им. И. И. Грекова. 2001. Т. 160. № З.С. 126.
- Баллингер Ю. И., Карпенкова В. И. Осложнения лапароскопической холецистэктомии // Анналы хир. гепатологии. 2000. Т. 5. № 2. С. 103-104.
- Кригер А. Г., Ржебаев К. Э., Суходулов А. М., Череватенко А. М. Опасности, ошибки, осложнения при лапароскопических операциях на желчных путях // Анналы хир. гепатологии. 2000. Т. 5. № 1.С. 117-118.
- Стрижелецкий В. В., Рутенбург Г. М., Михайлов А. П. Осложнения в абдоминальной эндовидеохирургии // Энд. хирургия. 2000. № 5. С. 3-11.
- Duca S., Bala О., Al-Hajjar N., Puia C., Iancu С., Bodea M. Laparoscopic Cholecystectomy: Incidents and Complications. An Analysis of 9000 Consecutive Laparoscopic Cholecystectomies Performed at the 3-rd Surgical Clinic Cluj. // Romanian. J. of Gastroenterol. 2001. Vol. 10. № 2. P. 22-27.
- Gonzalez R. V., Marencо С. C. A., Chavez G. A., Gonzalez D. S., Montalvo J. E. Laparoscopic cholecystectomy: Results of the experience at Hospital General de Mexico after nine years of implemented // Rev. Mex. Cir. Endoscop. 2002. Vol. 3. № 2. P. 71-73.
- Lichten J. B., Reid J. J., Zahalsky M. P., Friedman R. L. Laparoscopic cholecystectomy in the new millennium // Surg. Endosc. 2001. Vol. 15. № 8. P. 867-872.
- McMahon A. J., Fischbacher С. M. et al. Impact of laparoscopic cholecystectomy: a populationbased study // Lancet. 2000. № 11. P. 1632-1637.
- Voitk A. J, Tsao S. G. S., Ignatius S. The tail of the learning curve for laparoscopic cholecystectomy // The Am. J. of Surg. 2001. Vol. 182. № 3. P. 250-253.
- Wudel L. J., Wright J. K., Pinson C. W. et al. Bile Duct Injury Following Laparoscopic Cholecystectomy: A Cause for Continued Concern // The Am. Surgeon. 2001. Vol. 67. P. 557-564.
- Z’graggen K., Wehrli H., Metzger A., Buehler M. Complications of laparoscopic cholecystectomy in Switzerland // Surg. Endosc. 1998. № 12. P. 1303-1310.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).