The impact of surgical experience on complications of laparoscopic cholecystectomy
| Autor: | M. M. Mamakeev, Alymkadyr S. Beyshenaliev, R. K. Zhortuchiev, K. I. Niyazbekov |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment surgical experience Single Center 03 medical and health sciences 0302 clinical medicine cholecystitis medicine postoperative complications intraoperative complications conversion Laparoscopic cholecystectomy laparoscopic cholecystectomy Surgical team business.industry General surgery Gold standard Gallbladder Disorder medicine.disease lcsh:RC666-701 030220 oncology & carcinogenesis Cholecystitis 030211 gastroenterology & hepatology Cholecystectomy Complication business |
| Zdroj: | Heart Vessels and Transplantation, Vol 4, Iss 1, Pp 12-15 (2020) |
| ISSN: | 1694-7894 1694-7886 |
| Popis: | Objective: Laparoscopic cholecystectomy (LC) is the gold standard option for the surgical treatment of cholecystitis. Meanwhile, experience of surgical center and operator play central role in adequate management of patients with gallbladder disorders. The aim of this study is to analyze complications and conversion rates of laparoscopic cholecystectomy at various periods of implication of the method in a single center. Methods: We retrospectively analyzed early complications of 6381 patients operated due to various forms of cholecystitis according to periods of implication of LC in Kyrgyz National Center of General Surgery (1996-2019). Patients were divided into 3 groups: first group of patients were operated from 1996 to 2004 during first implementation of technique (n=1446); second group patients underwent operation between 2005-2008, when operators concentrated on technical skills (n=1225); third group of patients operated between 2009 and 2019, when surgical team concentrated on prevention of complications. Results: Both complication and conversion cases represented strong association with surgical experience. The highest complications (4.8% vs 1.5% and 0.4%, respectively, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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