التفاصيل البيبلوغرافية
العنوان: |
OUTCOME OF LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH GALLSTONE DISEASE AT A SECONDARY LEVEL CARE HOSPITAL |
المؤلفون: |
TAKI-ELDIN, Ahmed, BADAWY, Abd-Elnaser |
المصدر: |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo). January 2018 31(1) |
بيانات النشر: |
Colégio Brasileiro de Cirurgia Digestiva, 2018. |
سنة النشر: |
2018 |
مصطلحات موضوعية: |
Cholecystectomy, Laparoscopy, Cholelithiasis, Complications.. |
الوصف: |
Background: Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. )It is considered as the gold standard treatment for cholelithiasis. Aim: To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital. Methods: Data of 492 patients who underwent laparoscopic cholecystectomy were retrospectively reviewed. Patients’ demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, intra and postoperative complications, and hospital stay were collected and analyzed from patients’ files. Results: Out of 492 patients, 386 (78.5%) were females and 106 (21.5%) males. The mean age of the patients was 49.35±8.68 years. Mean operative time was 65.94±11.52 min. Twenty-four cases (4.9%) were converted to open surgery, four due to obscure anatomy (0.8%), 11 due to difficult dissection in Calot’s triangle (2.2%) and nine by bleeding (1.8%). Twelve (2.4%) cases had biliary leakage, seven (1.4%) due to partial tear in common bile duct, the other five due to slipped cystic duct stables. Mean hospital stay was 2.6±1.5 days. Twenty-one (4.3%) developed wound infection. Port site hernia was detected in nine (1.8%) patients. There was no cases of bowel injury or spilled gallstones. There was no mortality recorded in this series. Conclusions: Laparoscopic cholecystectomy is a safe and effective line for management of gallstone disease that can be performed with acceptable morbidity at a secondary hospital. |
نوع الوثيقة: |
article |
وصف الملف: |
text/html |
اللغة: |
English |
تدمد: |
0102-6720 |
DOI: |
10.1590/0102-672020180001e1347 |
URL الوصول: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100308 |
Rights: |
info:eu-repo/semantics/openAccess |
رقم الانضمام: |
edssci.S0102.67202018000100308 |
قاعدة البيانات: |
SciELO |