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Results of laparoscopic cholecystectomy in Al-Assad and Tishreen university hospitals in Lattakia between 2010-2017

نتائج جراحة المرارة التنظيرية في مشفيي الأسد و تشرين الجامعيين في اللاذقية بين عامي 2010-2017:

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 Publication date 2018
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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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.


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Research summary
تناولت الدراسة نتائج جراحة المرارة التنظيرية في مشفيي الأسد وتشرين الجامعيين في اللاذقية بين عامي 2010 و2017. شملت الدراسة 877 مريضًا، حيث تم تحليل الطريقة الجراحية المتبعة وأسباب التحويل إلى الجراحة المفتوحة، بالإضافة إلى الاختلاطات الحاصلة أثناء أو بعد الجراحة. كان متوسط أعمار المرضى 46 عامًا، ونسبة الإناث 64.5%. مدة العمل الجراحي الوسطية كانت 45 دقيقة. نسبة التحويل إلى الجراحة المفتوحة كانت 2.05%، وأهم الأسباب كانت الالتهابات الشديدة وعدم وضوح مثلث كالوت. حدثت الاختلاطات أثناء الجراحة في 0.34% من الحالات، وبعد الجراحة في 2.16% من الحالات. توصلت الدراسة إلى أن نسب التحويل والاختلاطات تقع ضمن النسب المقبولة عالميًا، وأن نتائج تدبير الاختلاطات كانت مرضية. أوصت الدراسة بتطبيق الجراحة التنظيرية في المشافي واقترحت بعض التوصيات لتقليل نسبة الاختلاطات.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة لأنها تقدم بيانات محلية حول نتائج جراحة المرارة التنظيرية، مما يساهم في تحسين الممارسات الجراحية في المنطقة. ومع ذلك، يمكن تحسين الدراسة من خلال تضمين مجموعة مقارنة من المرضى الذين خضعوا للجراحة المفتوحة لتقييم الفروقات بشكل أكثر دقة. كما أن الدراسة لم تتناول تأثير العوامل الاجتماعية والاقتصادية على نتائج الجراحة، وهو جانب يمكن أن يكون له تأثير كبير. بالإضافة إلى ذلك، كان من الأفضل تضمين تحليل طويل الأمد للمرضى بعد الجراحة لمعرفة تأثير الجراحة على جودة الحياة على المدى البعيد.
Questions related to the research
  1. ما هي نسبة التحويل من الجراحة التنظيرية إلى الجراحة المفتوحة في الدراسة؟

    نسبة التحويل من الجراحة التنظيرية إلى الجراحة المفتوحة كانت 2.05%.

  2. ما هي الأسباب الرئيسية للتحويل إلى الجراحة المفتوحة؟

    أهم الأسباب كانت الالتهابات الشديدة وعدم وضوح مثلث كالوت والشك بالخباثة.

  3. ما هو متوسط مدة العمل الجراحي في الدراسة؟

    متوسط مدة العمل الجراحي كان 45 دقيقة.

  4. ما هي نسبة حدوث الاختلاطات أثناء وبعد الجراحة؟

    نسبة حدوث الاختلاطات أثناء الجراحة كانت 0.34% وبعد الجراحة كانت 2.16%.


References used
BRUNICARDI,F.C. Schuartz principls of surgery. 10 ed, MC Graw Hill education,USA, 2015, 2068
Williams,N. O'Connell,P.R. Bailey & Love's Short Practice of Surgery. 26 ed, UK, 2013,1530
FISCHER,J.E. Mastery of surgery. 5 ed, Boston, Massachusetts, USA, p932, 2006
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