| Autor: |
yassin, Mahmoud Abdou, Habeeb, Tamer A. A. M., mohamed, Ahmed Shafik, negm, Said mohamed |
| Předmět: |
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| Zdroj: |
Surgical Chronicles; Jan-Mar2021, Vol. 26 Issue 1, p63-68, 6p |
| Abstrakt: |
Introduction: Biliary problems are high in old age. Advancement of laparoscopic that occurred in the last years made the use of laparoscopy is available in these cardiopulmonary risk patients. Aim: compare between Fundus-Calot cholecystectomy with low pressure pneumo-peritoneum VS open cholecystectomy in Emergency cases with cardiopulmonary risk patients as regard intraoperative data and postoperative complications. Patients and methods: This prospective randomized controlled study was conducted in emergency general surgery department on 374 cases with acute cholecystitis, biliary colic, mucocele, and gall bladder pyocele. Group A: Calot fundus (235 cases), group B (235 cases) and classic open approach Patients were divided into 2 groups. Results: This study included 374 cases with different ages mostly more than 40 years male diabetic obese patients with variable cardiopulmonary risks. In most cases of group A the operating time was up to 90 minutes, while in group B most cases were more than 90 minutes. In group B, intraoperative bleeding, visceral injury, and biliary injury were greater than in group A. As regards bleeding, biliary leakage and wound infections, postoperative sequelae were reported to be larger than in group B. Remote complications in Group B (23 %) were more pronounced for biliary rigidities than in Group A (2 %). Conclusion: In patients with cardiopulmonary risk, laparoscopic cholecystectomy with low pressure pneumoperitoneum with fundus-Callot approach is an excellent method and safe approach. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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