شملت الدراسة (163) حالة استئصال مرارة بالتنظير باستطباب التهاب مرارة حادّ حصوي، في الفترة من 1/1/2010 و لغاية 31/12/2013 و ذلك في قسم الجراحة بمشفى الأسد الجامعي باللاذقية.
كانت نسبة الذكور (24.5 %) و الإناث (75.5 %) و نسبة الإناث إلى الذكور (1:3.08).
أغلب مرضى دراستنا (53.4 %) كانوا بعمر بين (21-40) سنة.
أكثر الأعراض توارداً في دراستنا كانت الألم (92.6 %)، و الحمّى (74.8 %)، و الغثيان و القياء (72.4 %).
أجري إيكو البطن عند المرضى جميعهم.
أكثر المضاعفات أثناء استئصال المرارة بالتنظير كانت تمزّق المرارة و سقوط الحصيّات في البطن (3.7%)، و بعد العمل الجراحي كان التسرّب الصفراوي (8.6 %).
نسبة التحويل من الجراحة التنظيرية إلى الجراحة المفتوحة كانت (7.4 %).
(50.9 %) من مرضانا أجري لهم التداخل الجراحي خلال الـ 72 ساعة الأولى من الدخول إلى المشفى و (49.1 %) تمّ التداخل الجراحي بعد الـ 72 من الدخول إلى المشفى.
متوسّط مدّة العمل الجراحي في دراستنا (72) دقيقة.
متوسّط مدّة الإقامة بالمشفى (1.7) يوم.
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 composed (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.
References used
ZINNER, M.J. 1997 – Maingot's abdomind operations . 10th edition, prentice Hall international . Inc . London . U. K
MULHOLLAND, M.W.; LILLEMOE, K.D.; DOHERTY, G.M.; MAIER, R.V.; UPCHURCH, G.R. Greenfield's Surgery: SCIENTIFIC PRINCIPLES AND PRACTICE. 4th Edition Copyright 2006 © Lippincott Williams & Wilkins; Chapter 62. Calculous Biliary Disease; P:979-999
BRUNICARDI, F. C.; ANDERSON, D.K.; BILLIAR, T.R. DUNN, D.L. HUNTER, J.G. MATTEWS, J.B. POLLOCK, R .E.; Schwartz's principles of Surgery. The Mc Graw-Hill Education. 10th Edition 2015; Part II. Specific Considerations. Chapter 32. Gallbladder and the Extrahepatic Biliary System
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