[Conversion laparatomies during cholecystectomies under laparoscopy. Apropos of 285 consecutive cholecystectomies].
Retrospective analysis of a consecutive series of 285 cholecystectomies carried out by laparoscopy showed that 47 patients (17.5%) required conversion laparotomy. In 55% of these cases the conversion was due to difficulty in dissecting the gallbladder or cystic duct. Peri-operative cholangiography should be performed routinely, not only to verify the vacuity of the common bile duct (13% of the conversions) but, more particularly, to ensure the integrity of the principal biliary pathway during the dissection (8.5% of the conversions). Cholecystectomy under celioscopy is a proven and safe technique, on the condition that all stages of classical surgery can be carried out under good conditions.
Randoux
O
O
Service de Chirurgie Digestive et Thoracique, C.H. Saint Philibert, Lomme.
Desrousseaux
B
B
Atat
I
I
Sarkis
P
P
Corman
N
N
Ampe
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002764:Cholecystitis / Q000601:surgery; D003085:Colic / Q000601:surgery; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008107:Liver Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies
Les laparotomies de conversions au cours des cholécystectomies par laparoscopie. A propos de 285 cholécystectomies consécutives.