CONVERSIONS AND COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY - RESULTS OF A SURVEY CONDUCTED BY THE FRENCH-SOCIETY-OF-ENDOSCOPIC-SURGERY-AND- INTERVENTIONAL-RADIOLOGY

被引：41
作者：
COLLET, D
EDYE, M
PERISSAT, J
机构：
[1] Service de Chirurgie Générale et Digestive, Centre de Chirurgie Laparoscopique, Clinique Chirurgicale du CHR, Bordeaux, 33200
来源：
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 04期
关键词：
GALLSTONES; SURGERY; LAPAROSCOPIC CHOLECYSTECTOMY; COMPLICATIONS; CONVERSIONS; RESULTS;
D O I：
10.1007/BF00725952
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
During 1991, 41 surgeons of the French Society of Endoscopic Surgery and Operative Radiology (SFCERO) performed 3,673 cholecystectome of which 2,955 were laparoscopic. Data for those patients in whom a conversion to laparotomy was necessary or a complication occurred were collected by a retrospective multicenter survey. Conversion was performed in 142 patients (4.8%): in 106 this was due to pathology in the subhepatic space; in 36 it was because of a complication related to the laparoscopy. There were 101 postoperative complications (morbidity 3.4%): 59 biliary and 42 non biliary complications and six deaths (mortality 0.2%). There were 18 bile duct injuries, one of which led to the death of the patient. Excluding conversions to laparotomy, these figures are comparable to those for open cholecystectomy. These results define the limits and advantages of laparoscopic cholecytectomy. Conversion to laparotomy remains a wise option in cases of technical difficulty or doubtful biliary anatomy.
引用
收藏
页码：334 / 338
页数：5
相关论文
共 25 条
  • [1] Arregui M.E., Davis C.J., Arkush A., Nagan R.F., In selected patients outpatient laparoscopic cholecystectomy is safe and significantly reduces hospitalisation charges, Surg Laparosc Endosc, 1, pp. 240-245, (1991)
  • [2] Berci G., Sackier J.M., The Los Angeles experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 382-384, (1991)
  • [3] Collet D., Cholécystectomie coelioscopique. L'enquète de la Société Française de Chirurgie endoscopique et de radiologie Opératoire, à propos de 937 observations, Gastroenterol Clin Biol, 16, pp. 302-308, (1992)
  • [4] Cuschieri A., Dubois F., Mouiel J., Mouret P., Becker H., Buess G., Trede M., Troidl H., The European experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 385-387, (1991)
  • [5] Delaitre B., Dubois F., Mouret P., Nouaille J.M., Dislaire-Fontes I., Collet D., Complications des cholécystectomies par voie coelioscopique. A propos de 6091 cas, Chirurgie, 118, (1992)
  • [6] Dubois F., Icard P., Berthelot G., Levard H., Coelioscopic cholecystectomy: preliminary report of 36 cases, Ann Surg, 191, pp. 271-275, (1990)
  • [7] Fabre J.M., Fagot H., Domergue J., Guillon F., Lepage B., de Seguin C., Balmes M., Baumel H., Cholécystectomie coelioscopique dans la lithiase vésiculaire simple et compliquée. A propos de 392 cas, Ann Chir, 214, pp. 330-334, (1992)
  • [8] Flowers J.L., Bailey R.W., Scovill W.A., Zucker K.A., The Baltimore experience with laparoscopic management of acute cholecystitis, Am J Surg, 161, pp. 338-392, (1991)
  • [9] Ganey J.B., Johnson P.A., Prillaman P.E., McSwain G.R., Cholecystectomy: clinical experience with a large series, Am J Surg, 151, pp. 352-357, (1986)
  • [10] Gilliland T., Traverso L.W., Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis, Surg Gyn Obstet, 170, pp. 39-44, (1990)
123