laparoscopic cholecystectomy has many features that make it preferable to open
surgery with a low incidence of complications.
The study was conducted on 877 patients who underwent laparoscopic
cholecystectomy at Al-Assad and Tishreen hospitals in
the period 2010-2017
The surgical method used and the reasons for conversion to open surgery were
studied in addition to the complications occurring during or after the surgery in terms of
occurrence rate and method of management of complications and the results of this
management.
The average age of patients was 46 years, the proportion of females was 64.5%, the
mean surgical time was 45 minutes.
The ratio of conversion to open surgery was 2.05% and the most common cause was
severe inflammation, "unclear calot`s triangle" and suspicion of malignancy.
Partial laparoscopic cholecystectomy was performed in 1.36% of cases and
peroperative complications occurred in 0.34% of cases and postoperative complications in
2.16% of cases.
Analysis of the results revealed that the rates of conversion for open surgery and the
incidence of complications are within the internationally accepted rates and that the results
of management of complications were satisfactory and consistent with the methods used
globally to manage complications.
We concluded that this surgery is safe and its complications are rare. We recommend
applying it in our hospitals . We have suggested some recommendations that can reduce
the complications of this surgery.
This study was carried out in the department of anesthesia and reanimation at
ALASSAD , TishreenUniversity Hospitals ,Lattakia,Syria,during the year 2014 - 2015,and
included 60 patients of either sex (20 – 60 years of age ) under going elective lap
aroscopic
cholecystectomy.
Patients were divided into two groups:
Patients of group G received oral gabapentin 600 mg 2 hours before inducation of
anesthesia , while patients in group p did not receive any drug before the surgery.
The goal of the study is studying The effects of gabapentin premedication on
hemodynamic stability during laparoscopic cholecystectomy
Results : there were significantly hemodynamic stability in patients of group G as
compared to group p.
Conclusion : Gabapentin premedication provided perioperative hemodynamic
stability during laparoscopic cholecystectomy.
