Complications of laparoscopic cholecystectomy: A prospective review of an initial 100 consecutive cases
| Autor: | David F. Hickok, Joseph J. Pietrafitta, Leonard S. Schultz, John N. Graber |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Nausea medicine.medical_treatment Hemorrhage Dermatology Light Coagulation Cholelithiasis Cholecystitis medicine Humans Cholecystectomy Yttrium Prospective Studies Major complication Laparoscopy Laparoscopic cholecystectomy Aged Aged 80 and over Common Bile Duct Neodymium medicine.diagnostic_test Ongoing review Bile duct business.industry General surgery Middle Aged Surgery Treatment Outcome medicine.anatomical_structure Aluminum Silicates Female medicine.symptom Complication business Follow-Up Studies |
| Zdroj: | Lasers in Surgery and Medicine. 12:92-97 |
| ISSN: | 1096-9101 0196-8092 |
| Popis: | In order to identify problems in concept or technique with lap-aroscopic cholecystectomy, a prospective analysis of the initial consecutive 100 procedures was accomplished. Ongoing review of the results led to modifications in order to improve operative outcome. Minor complications such as nausea for more than 12 h (20%) and right shoulder pain (29%) were self-limiting. There were no deaths, two bile duct injuries, two abscesses, two retained common duct stones, and one case requiring transfusion, totaling a 7% major complication rate. In the subsequent 200 laparoscopic cholecystectomies, there was a 1.5% rate of major complications. Specific measures and modifications in technique that account for this improvement are detailed. Complications of laparoscopic cholecystectomy are more frequent in initial cases but can be minimized by observing specific intraoperative principles. |
| Databáze: | OpenAIRE |
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