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  • Urgentna laparoskopska holecistektomija zaradi akutnega holecistitisa = Emergency laparoscopic cholecystectomy for acute cholecystitis
    Zajec, Mihael
    Background. Gallstone disease is one of the most common medical problems requiring surgery. The use of laparoscopic approach in patients with acute cholecystitis remains controversial because of ... technical difficulties that, compared to open cholecystectomy, may lead to higher complication rates. The author presents background data, indications and contraindications for this laparoscopic procedure and the optimal timing for operation. He describes a few surgical technical tricks, and summarizes his own and other authors experience with urgent laparoscopic operative treatment of patients with acutecholecystitis. Patients and methods. Of the 457 patients operated on for gallblader stones at our surgical department in 2004, 84 had emergency surgery, and 65 of them had histologically positive acute cholecystitis. Results. Operative procedures for acute cholecystitis were performed laparoscopically in 54 of 65 causes (83%) . Open cholecystecomy was done in 11patients (17%), conversion in four and primarily open cholecystectomy in seven. Two operative complications and some minor postoperative problems were recorded. In the group of 392 nonselected scheduled cholecystectomies there were 18 open operations (4.8%). Conclusions. According to the experience of the authors institution, acute cholecystitis is amenable to urgent laparoscopic treatment. The procedure, however, is associated with a slightly higher rate of complications than open surgery and requires more effort in terms of organisation and surgical performance. Its advantages include reduce patient discomfort and shorter sick-leave period.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 10, št. 24, 2005, str. 113-121)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - slovenski
    COBISS.SI-ID - 20600537

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