Major complications during laparoscopic cholecystectomy.
| Τίτλος | Major complications during laparoscopic cholecystectomy. |
| Publication Type | Journal Article |
| Year of Publication | 2007 |
| Authors | Marakis, G. N., Pavlidis T. E., Ballas K., Aimoniotou E., Psarras K., Karvounaris D., Rafailidis S., Demertzidis H., & Sakantamis A. K. |
| Journal | Int Surg |
| Volume | 92 |
| Issue | 3 |
| Pagination | 142-6 |
| Date Published | 2007 May-Jun |
| ISSN | 0020-8868 |
| Λέξεις κλειδιά | Adolescent, Adult, Aged, Aged, 80 and over, Aorta, Abdominal, Cholecystectomy, Laparoscopic, Common Bile Duct, Duodenum, Female, Gallbladder, Hemorrhage, Humans, Intraoperative Complications, Male, Middle Aged, Reoperation, Retrospective Studies, Treatment Outcome |
| Abstract | Laparoscopic cholecystectomy may lead to serious complications, some of which can be disastrous if they are not recognized and managed immediately. Over the past 12-year period, 1225 laparoscopic cholecystectomies were performed. Totally, major complications occurred in 19 cases (1.5%). The conversion rate was 7.4%. Complications included common bile duct injury in 2 cases (0.16%), vessel injury by trocar or Veress needle in 4 cases (0.32%) including 1 case of aorta injury (0.08%), bleeding from the gallbladder bed or the cystic artery in 10 cases (0.8%), bile leak in 1 case (0.08%), duodenum injury in 1 case (0.08%), and transient liver ischemia in 1 thalassanemic patient (0.08%). The complication was recognized during the operation in 11 cases. Reoperation was necessary in five cases (0.4%), and conservative management was applied in three cases. Although infrequent, major complications may occur during laparoscopic cholecystectomy. Immediate recognition and management is critical and may lead to a safe outcome. |
| Alternate Journal | Int Surg |
| PubMed ID | 17972469 |
