Laparoscopic Cholecystectomy: Preliminary Report Of 26 Cases By Reviewing Literature

Current reports show that laparoscopic cholecystectomy is the method of choice for gall-bladder diseases. Morbidity and mortality rates are comparable with open cholecystecto-my. Serious complications are conversion from laparoscopic cholecystectomy to open pro¬cedure, injuries of biliary duct or gastrointestinal tract, uncontrolled bleeding, and subhepatic collections. In this report, 26 cases treated laparoscopically in our clinic, are presented. Conversion from laparoscopic cholecystectomy to open procedure was perfor-med in 4 patients. In the first case, conversion was carried out because of an extrahepatic biliary anomaly. Choledochal injury was confirmed and treated by choledochojejunostomy. In the other cases, difficulties in the dissection of Calot's triangle was the cause of conversion. Postoperative morbidity was 4.54%. Relevant literature is reviewed. Son yillarda laparoskopik koleslstektoml, bilyer cerrahide yeglenen tedavi yontemi olmustur. Morbidite ve mortalite oranlan konvensiyonel cerrahi kadardir. Acik girisime donme gerekliligi, bilyer ve gastrointestinal sistem yaralamalari, kontrol edilemeyen kana-malar, subhepatik kolleksiyon ciddi komplikasyonlan olusturur. Bu yazida, klinigimizde laparoskopik kolesistektomi yontemiyle tedavi edilmis 26 vaka sunuldu. Safra yollari ano-malisi olan bir ve akut kolesistite bagli olarak Calot ucgeninde disseksiyon guclugu sapta-nan uc hastada acik kolesistektomiye donuldu. Anomalisi olan hastada safra yollari yara-lanmasi saptandi. Postoperatif morbidite %4.54 bulundu. Konu ile ilgili literatur gozden gecirildi.