title: Incidents and postoperative complications of laparoscopic cholecystectomies for acute cholecystitis.
abstract: The purpose of this study was to analyze incidents and postoperative complications of the laparoscopic cholecystectomies performed for acute cholecystitis in 1453 patients in the 3rd Surgical Clinic, Cluj-Napoca. Hemorrhage occurred in 139 (9.5%) cases from which 75 (54%) lesions of the cystic artery, 63 (45.3%) cases of bleeding from the vesicular bed and 1 patient (0.72%) with section of the hepatic artery. Lesions of the bile ducts occurred in 13 (0.9%) patients from which 4 (3.07%) were on the right hepatic duct and 9 (6.93%) on the common bile duct. We encountered 152 (10.46%) early postoperative complications from which 92 (60.5%) were grade I, 56 (37%) grade II, 0 grade III and 4 (2.63%) grade IV, according to Clavien's classification. There were 35 (2.4%) nonspecific postoperative complications from which there where phlebitic reactions in 25 (71.4%) patients, phlebitis in 9 (25.7%) and upper digestive hemorrhage due to acutization of a duodenal ulcer in 1 patient (2.9%). We also registered a number of 20 (1.38%) later postoperative complications: 10 (50%) residual biliary lithiasis in the first postoperative year, and 10 (50%) hernias at the umbilical trocar insertion site.
authors.affiliation: 3rd Surgical Clinic, University of Medicine and Pharmacy, Croitorilor Str. no. 19-21, 3400 Cluj-Napoca, Romania.
authors.forename: Nadim
authors.initials: N
authors.lastname: Al-Haijar
authors.forename: Sergiu
authors.initials: S
authors.lastname: Duca
authors.forename: Géza
authors.initials: G
authors.lastname: Molnár
authors.forename: Alin
authors.initials: A
authors.lastname: Vasilescu
authors.forename: Nicoleta
authors.initials: N
authors.lastname: Nicolescu
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002764:Cholecystitis / Q000473:pathology / Q000601:surgery*; D004381:Duodenal Ulcer; D005260:Female; D006547:Hernia; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies