[Mini invasive treatment of complications following laparoscopic cholecystectomy].
Miniinvasive treatment can be used in many early complications following laparoscopic cholecystectomy. In this article are analyzed the indications and the efficiency of these techniques.


METHODS
We analyzed here a group of 9542 laparoscopic cholecystectomy operated in 9 years. The main postoperative complications were: bile leak (54 cases), haemorrhage (15 cases), subhepatic abscess (10 cases) and early diagnosed remnant lithiasis of CBD (11 cases). Miniinvasive techniques that were used were laparoscopic reinterventions (15 cases) and EST (22 cases).


RESULTS
Classic reinterventions were practiced in 28.88% of cases with complications. Miniinvasive techniques were used in 42.2% of cases with complications: laparoscopic reinterventions (15 cases) for choleperitoneum, haemoperitoneum and subhepatic abscess and EST (22 cases) for prolonged bile leak on subhepatic drain and for early diagnosed remnant lithiasis of CBD. All cases were healed.


CONCLUSIONS
Along with a precise diagnosis and a good indication, the miniinvasive treatment of complications proved to have good results, converting the bad operative outcome into a postoperative success.
Centrul de instruire în Chirurgia Laparoscopică, Clinica Chirurgie III, U.M.F. Cluj.
S
S
Duca
N
N
al-Hajjar
O
O
Bala
C
C
Iancu
D
D
Munteanu
F
F
Graur
V
V
Glijin
G
G
Pascarenco
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D006431:Hemobilia / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008100:Liver Abscess / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome