AI Summary & Key Takeaways
AI InsightCurrently cholecystectomy is the golden standart in the treatment of symptomatic cholelithiasis Because of its un-doubtfull advantages laparoscopic cholecystectomy is the procedure of choice in the treatment of symptomatic cho¬lelithiasis.
📌 3 Key Takeaways
Abstract
Experience of Open and Laparoscopic Cholecystectomy for Eight Years Between May 1988 and May 1996, 1457 cholecystectomy were performed for symptomatic cholelithiasis and gall¬bladder polyp at Dokuz Eylül University School of Medi¬cine General Surgery Department. 1126 cholecystectomy were performed with open tecnique and 331 were per¬formed with laparoscopic technique. 1122 patients were female (77.5 %) and 335 were male (22.5 %) with a mean age of 55 (14-85). In the open cholecystectomy group, 80 were performed for acute cholecystitis, 930 for sympto¬matic cholelithiasis or gallblader polyp and 116 for sus¬pect of choledocholithiasis. In choledocholithiasis group, after choledochal exploration 46 T tube drainage, 53 cho-ledochoduodenostomi, 5 choledochojejunostomi, 12 trans-duodenal sphincteroplasty were peiformed for biliary drainage. In the laparoscopic cholecystectomy group, pre-operatively 4 ERCP and 1 ERCP+sphincterotomy were performed for patients with suspect of choledocholithiasis. Mortality was 0.2 % in open, 0 % in laparoscopic cholecys¬tectomy group. Median hospital stay for open cholecystec¬tomy was mean of 6.7 days and for the laparoscopic chole¬cystectomy was mean of 1.3 days. Currently cholecystectomy is the golden standart in the treatment of symptomatic cholelithiasis Because of its un-doubtfull advantages laparoscopic cholecystectomy is the procedure of choice in the treatment of symptomatic cho¬lelithiasis.
Özet
Dokuz Eylül Üniversitesi Tıp Fakültesi Genel Cerrahi A.B.D'nda Mayıs 1988 ile Mayıs 1996 tarihleri arasında 1457 hastaya semptomatik kolelitiazis nedeniyle kolesis¬tektomi uygulandı. Olguların 1126'sı açık, 331'i laparos¬kopik yöntemle ameliyat edildi. Hastalarımızın 1122'si ka¬dın (% 77.5), 335'i erkek (% 22.5) olup ortalama yaş 55 (14-85) idi. Açık kolesistektomi grubundaki 1126 hastadan 80 tanesi akut kolesistit, 930'u semptomatik kolelitiazis veya safra kesesi polipi, 116'sı koledok taşı şüphesi nede¬niyle ameliyat edildi. Koledok taşı şüphesi olan hastalar¬dan 46 tanesine koledok explorasyonu sonrası T tüp dre¬najı, 53'üne koledokoduodenostomi, 5'ine koledokojeju-nostomi, 12'sine transduodenal sfinkteroplasti yapıldı. La¬paroskopik kolesistektomi grubundaki hastalardan kole-dokta taş şüphesi olan 4 hastaya preoperatif dönemde ERCP, bir hastaya ERCP + sfinkterotomi uygulandı. Mor¬talite açık kolesistektomi grubunda % 0.2, laparoskopik kolesistektomi grubunda % 0 olarak saptandı. Hastanede kalış süresi açık kolesistektomi grubunda ortalama 6.7 gün, laparoskopik kolesistomilerde ortalama 1.3 gün bu¬lundu. Günümüzde semptomatik kolelitiazis tedavisi için altın standart kolesistektomidir. Laparoskopik kolesistektomi beraberinde getirdiği avantajlar nedeniyle kolelitiazis te¬davisinde ilk seçenek olmalıdır.