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Volume 5
Issue 1
Online publication date 2011-03-01
Title Laparoscopic cholecystectomy in acute gangrenous cholecystitis
Author Аbdukhakim Khadjibaev, Shukhrat Atadjanov, Farkhod Khadjibaev, Khikmat Anvarov
Abstract The clinic, laboratorial, intraoperative, and morphologic findings of 482 patients with acute gangrenous cholecystitis have been studied. There were 162 men (33.6%) and 320 (67.4%) women at the age of 15-91 years, with average 55.3±6.5 years old. 218 patients were operated by laparoscopic method, traditional access was provided in 264 patients. Conversion was performed in 17 from 218 cases (7.8%). Postoperative complications made 8.3% and 13.6% in both groups respectively. Intraoperative complication during laparoscopic cholecystectomy (common bile duct injury) occurred in 1 (0.46%) patient operated at the fifth day since the commencement of disease. Conversions and complications reduction was provided by the offered technical improvements of laparoscopic cholecystectomy such as a change of the points of trocars injection, using the modified instruments for the tissues dissection, gallbladder mobilization and hemostasis.
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Keywords Cholelithiasis, acute gangrenous cholecystitis, laparoscopic cholecystectomy
Pages 43-48
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