[Incidents, accidents and limits of cholecystectomy by celioscopy].
Series of coelioscopic cholecystectomy until 1991 has shown that morbidity rate of this procedure remains higher than conventional laparotomy. Complication are related to technical problems included: (a) biliary leak with a rate of 0.5%; (b) hemorrhage; and (c) digestive perforation. Contra-indication of this procedure are: cirrhosis, portal hypertension, bilio-biliary fistula and severe cholecystitis. Progress is expected with willing to open cholecystectomy; improvement of intervention, perioperative cholangiography and specific train of surgeons involved in the field of surgery.
Belghiti
J
J
Service de chirurgie digestive, hôpital Beaujon, Clichy.
D002763:Cholecystectomy / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000601:surgery*; D000075202:Contraindications; D016145:Endoscopy, Digestive System / Q000009:adverse effects; D006801:Humans
Incidents, accidents et limites de la cholécystectomie par coelioscopie.