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 included (163) patients admitted to the department of Surgery in Al-Assad
university hospital at Lattakia , between 1/1/2010 and 31/12/2013. They all had
Laparoscopic cholecystectomy due to acute cholecystolithiasis.
The male patients c
omposed (24.5%), and the female patients composed (75.5%) and
the ratio of females to males was (1:3.08).
In our study the age of most patients (53.4 %) was between (21-40) years.
The more frequent clinical features was pain (92.6%) , fever (74.8%) and (nausea +
vomiting) (72.4%).
Ultrasound abdomen was done in (100%).
The most intra – operative complication was perforation of gall bladder and spilled
stones (3.7%) and post – operative complication was spilled bile.
The conversion rate from Laparoscopic cholecystectomy to open method was
(7.4%).
cholecystectomy was done in (50.9%) in the first 72 hours of hospitalization and was
done in (49.1 %) after the 72 hours of hospitalization.
The median operating time was (72) minutes .
The mean stay being (1.7) days.
