[Cholecystectomy by laparoscopic approach. A trial for evaluating the biliary risk].
Owing to the wide diffusion of the coelioscopic cholecystectomy some problems are worth studying. From a technical standpoint they are important changes: use of monopolar current for coagulation, suppression of intra-operative cholangiography, absence of suture of the gallbladder bed, systematic retrograde dissection. Theoritically these modifications are important enough to increase the biliary risk. As a matter of fact, comparison with traditional cholecystectomy data as well as results of preliminary studies on coelioscopic cholecystectomy does not confirm such a risk. This operation appears safe, at least if indications are limited to non complicated cholelithiasis.
Giuly
J
J
Clinique Fallen, Aubagne.
Francois
G
G
Gaujoux
J
J
D001649:Bile Duct Diseases / Q000209:etiology; D002758:Cholangiography; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D004564:Electrocoagulation / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy; D008297:Male; D012306:Risk
Cholécystectomie sous coelioscopie. Essai d'évaluation du risque biliaire.