AI Summary & Key Takeaways
AI InsightIn the light of these findings, we think that LC is a safe method even in the town hospitals, as is accepted in many centers.
📌 3 Key Takeaways
Abstract
Laparoscopic cholecystectomy (LC) has become the "Gold Standard" therapy for the treatment of the gallbladder diseases. We carried out ,140 laparoscopic cholecystectomy at the General Surgery Clinic of Nizip State Hospital between January 1998-November 1999. One hundred eight (77.2%) of the patients were female and thirty-two (22.8%) were male. The average age was 49 years. Diagnosis was performed by the abdominal ultrasonography. There were cholecystolithiasis in 138 cases and gallbladder polyp and acalculous cholecystitis each in one case. The rate of conversion to laparotomy is 3.5%. The rate of major complications was 1.4% (2 cases: choledocus injury and excessive bleeding from the gallbladder bed). There is no mortality in our series. The mean operation time was 46 minutes. The mean discharge time was 2 days. In the light of these findings, we think that LC is a safe method even in the town hospitals, as is accepted in many centers.
Özet
Laparoskopik Kolesistektomi (LK), safra kesesi hastalıkları tedavisinde, günümüzde "Altın Standart" olarak kabul edilmektedir. Ocak 1998- Kasını 1999 tarihleri arasında, Nizip Devlet Hastanesi Genel Cerrahi Kliniğinde 140 hastaya LK uyguladık. Hastaların 108 (%77.2)'i kadın, 32 (%22.8)' si erkekti. Ortalama yaş 49 idi . Tanı, abdominal ultrasonografi ile konuldu. Vakaların 138'inde kolelitiazis, birinde Safra Kesesi (SK) polibi, diğerinde ise akalkülöz kolesistit tespit edildi. Laparotomiye geçiş oranı %3.5 tir. Majör komplikasyon oranı % 1.4 tür (2 hastada: koledok yaralanması ve safra kesesi yatağından aşırı kanama). Vakalarımızda mortalite gözlenmedi. Ortalama ameliyat süresi 46 dakikadır. Ortalama taburcu olma süresi 2 gündür. Bu bulgular ışığında (LK) pek çok merkezde olduğu gibi, ilçe hastanelerinde de rutin uygulamaya konulmuş güvenilir bir tedavi yöntemidir.