{"title":"Laparoskopik subtotal kolesistektomi açığa dönüşe alternatif olabilir","authors":"K. D. Peker, H. Alış","doi":"10.5350/BTDMJB201713301","DOIUrl":null,"url":null,"abstract":"Objective: Laparoscopic subtotal cholecystectomy could be an alternative to open cholecystectomy if the anatomy of the gallbladder is not suitable for total cholecystectomy. The purpose of this study was to share our experience in difficult cholecystectomies. \nMaterial and Methods: The records of 2250 patients, who underwent cholecystectomy in the General Surgery Department of Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, between January 2008 and July 2015, were evaluated retrospectively. One hundred and thirteen patients, who underwent emergency laparoscopic subtotal cholecystectomy or conversion cholecystectomy, were included in our study. Demographic characteristics of the patients, length of hospital and intensive care unit stays and complications were assessed. \nResults: Patients who underwent laparoscopic subtotal cholecystectomy 48 (42.47%) and conversion cholecystectomy 65 (57.52%) were statistically compared. No statistically significant difference was determined between the laparoscopic subtotal cholecystectomy and conversion cholecystectomy groups regarding major and minor complications (p>0.05). There was statistically significant difference in terms of length of hospital and intensive care unit stay (p=0.001, p","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"25 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2017-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical journal of Bakirköy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5350/BTDMJB201713301","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
摘要
目的:在胆囊解剖结构不适合全胆囊切除术的情况下,腹腔镜胆囊次全切除术可作为开腹胆囊切除术的替代方法。本研究的目的是分享我们在困难的胆囊切除术中的经验。材料和方法:回顾性分析2008年1月至2015年7月在土耳其伊斯坦布尔Bakirkoy Dr. Sadi Konuk培训和研究医院普通外科接受胆囊切除术的2250例患者的记录。113例急诊腹腔镜胆囊次全切除术或转换胆囊切除术纳入我们的研究。评估患者的人口学特征、住院时间和重症监护病房的住院时间以及并发症。结果:腹腔镜胆囊次全切除术48例(42.47%)与胆囊转换切除术65例(57.52%)比较,差异有统计学意义。腹腔镜胆囊次全切除术组与转换胆囊切除术组的主要和次要并发症比较,差异无统计学意义(p>0.05)。两组住院时间和重症监护病房住院时间差异有统计学意义(p=0.001, p
Laparoskopik subtotal kolesistektomi açığa dönüşe alternatif olabilir
Objective: Laparoscopic subtotal cholecystectomy could be an alternative to open cholecystectomy if the anatomy of the gallbladder is not suitable for total cholecystectomy. The purpose of this study was to share our experience in difficult cholecystectomies.
Material and Methods: The records of 2250 patients, who underwent cholecystectomy in the General Surgery Department of Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey, between January 2008 and July 2015, were evaluated retrospectively. One hundred and thirteen patients, who underwent emergency laparoscopic subtotal cholecystectomy or conversion cholecystectomy, were included in our study. Demographic characteristics of the patients, length of hospital and intensive care unit stays and complications were assessed.
Results: Patients who underwent laparoscopic subtotal cholecystectomy 48 (42.47%) and conversion cholecystectomy 65 (57.52%) were statistically compared. No statistically significant difference was determined between the laparoscopic subtotal cholecystectomy and conversion cholecystectomy groups regarding major and minor complications (p>0.05). There was statistically significant difference in terms of length of hospital and intensive care unit stay (p=0.001, p