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


Abstract in English

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.

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

Download