Routine intraoperative aspiration of gallbladder during laparoscopic cholecystectomy.
BACKGROUND
Technical modifications and methods for gallbladder dissection to minimize the risk of gallbladder perforation during laparoscopic cholecystectomy (LC) are described. The authors aimed to investigate the effects of gallbladder aspiration during LC on the operative and postoperative course of patients.


METHODS
For this study, 200 patients undergoing LC for symptomatic cholelithiasis were randomly divided into two groups. Gallbladders were aspirated before dissection in group A (n = 100), and they were not aspirated in group B (n = 100). Operative and postoperative data on the patients were collected.


RESULTS
The rate of gallbladder perforation was significantly lower in group A than in group B (p = 0.0003). The operative time was significantly shorter in group A (46.70 +/- 15.93 min) than in group B (60.75 +/- 22.09 min) (p = 0.047). Postoperative complications were more numerous in group B. The hospital stay was significantly longer in group B (1.55 +/- 0.81 days) than in group A (1.3 +/- 0.5 days; p = 0.004).


CONCLUSIONS
The findings demonstrate the advantages of gallbladder aspiration in elective cases.
Calik
A
A
Department of Surgery, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
Topaloglu
S
S
Topcu
S
S
Turkyilmaz
S
S
Kucuktulu
U
U
Piskin
B
B
D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000293:injuries; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D013396:Suction; D014950:Wounds, Penetrating / Q000209:etiology / Q000517:prevention & control