[Analysis of failures in laparoscopic cholecystectomy].
The aim of the study was an analysis of the causes of conversion from LCh to the traditional operation in the large group of unselected patients. 1991 in 31 LCh-2 cases were converted (5.8%), in 1993 in 862-11 cases (1.3%). In the remaining years the frequency of conversion was below 1%. Altogether in 4000 LCh conversion was necessary in 44 cases. Causes of the conversion: in 23 patients lack of possibility to visualize the gallbladder neck, in 12 cases acute inflammation of gallbladder, in 11 cases chronic inflammation, in another 6 patients laparotomy was performed because of gallbladder carcinoma, in 4 cases because of gallbladder fistulation. The most common cause of conversion were adhesions of the neck of a gallbladder. Conversion rate can be lowered to below 1%.
Modrzejewski
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Kliniki Chirurgii Ogólnej i Naczyniowej Pomorskiej Akademii Medycznej w Szczecinie.
D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000706:statistics & numerical data*; D005705:Gallbladder Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D011044:Poland; D017211:Treatment Failure