Medicinski vjesnik, Vol. 43 No. (1-4), 2011.
Professional paper
Laparoscopic surgery at University hospital Department of endoscopic surgery - complications and conversions
Marijan Kolovrat
Fedor Amić
Dražen Servis
Vlatka Čavka
Željko Bušić
Abstract
Laparoscopic approach in abdominal surgery has been fully established and accepted. There is practically no classic abdominal operation that has not been successfully performed laparoscopically, whereas some of them, like laparoscopic cholecystectomy, have long ago become golden standard in treating cholelithiasis and cholecystitis. The goal of this study was to analyze the results in laparoscopic surgery, which had been obtained at our department during 2011.
Materials and methods: At our Department in year 2011 the authors had performed 620 surgical procedures, 150 of which were laparoscopic procedures. Of all laparoscopic procedures, 98 were elective and 52 urgent procedures. We analysed complications and conversion rates of those procedures.
Results: The most common laparoscopic procedure among elective laparoscopic operations was laparoscopic cholecystectomy, while among urgent procedures it was laparoscopic appendectomy. Some other laparoscopic procedures were also performed, such as laparoscopic splenectomy, laparoscopic pericystectomy of echinococcal cyst of liver and spleen, extirpation of simple cyst from the cavity of Douglas, laparoscopic sutures of perforated duodenum and sigmoid colon and laparoscopic explorations of abdominal cavity, both urgent and elective. Only three complications were recorded (gallbladder abscess, postoperative paralytic ileus and bleeding from the supraumbilical port), and all three complications appeared after urgent procedures. Conversion rate in elective procedures was 3%.
Conclusion: The popularity of laparoscopic procedures is increasing in both elective and urgent laparoscopic procedures. Some benefits of laparoscopic surgery, like shorter postoperative recovery and milder surgical stress, have already been established. Advancing laparoscopic techniques and training of surgical staff will bring the, already low, number of postoperative complications and conversion rates to a minimum.
Keywords
Laparoscopy - complications, education, rehabilitation, standards, statistics and numerical data, surgery, trends, utilization; Postoperative complications - etiology, prevention and control, rehabilitation, surgery, therapy; Cholecystectomy, laparoscopic - education, rehabilitation, standards, statistics and numerical data, trends, utilization
Hrčak ID:
198050
URI
Publication date:
1.12.2011.
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