[Treatment of cholecysto- and choledocholithiasis--own experiences].
Cholecystolithiasis is a serious problem of contemporary medicine. The most common operations in gastroenterologic surgery are gallbladder operations because of calculosis. The most common complications after gallbladder operations are bleeding from site of the gallbladder and bile leakage, but the most serious complication is a bile ducts injury.


OBJECTIVE
The assessment of complications quantity after cholecystectomy due to cholecystolithiasis. Observation of operation's profile changes during last 10 years.


METHODS
From January 1997 to December 2006 in Department of Surgery in MSWiA Hospital in Lodz and in Departments of Surgery in Leczyca and Piotrkow Trybunalski 6845 cholecystectomy were made including 4215 laparoscopic operations.


RESULTS
Complications were observed in 12.6% patients. Suppuration of the wound and postoperative hernias occurred more often after classic operations, in the other hand blood and bile leakage from site of the gallbladder were more often observed after laparoscopic operations. The ratio of complications after classic operations to laparoscopic operations was about 15.4% to 6.1%. Conversion was made in 11.5%. During first 5 years conversion was made in 17.6%, in the next 5 years average number of complications drop to 5.4%.


CONCLUSIONS
Nowadays laparoscopic cholecystectomy is a standard procedure in symptomatic and asymptomatic cholecystolithiasis. It's a safe operation, burden with a little amount of complications made during acute as well as chronic course of disease. Laparoscopic technique requires a lot of care and in the event of operator's doubts should be replace with classic operation.
Oddział Chirurgii Ogólnej Szpitala MSWiA w Łodzi. jaceksmigielski@tlen.pl
Jacek
J
Smigielski
Jerzy
J
Wojtysiaki
Piotr
P
Ziemniak
Masoud
M
Hedayati
Mariusz
M
Balcerczak
Janusz
J
Sztompka
Maciej
M
Kococik
Zbigniew
Z
Kococik
Rafał
R
Drozda
Krzysztof
K
Kołomecki
D000208:Acute Disease; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D002764:Cholecystitis / Q000453:epidemiology / Q000601:surgery*; D041761:Cholecystolithiasis / Q000453:epidemiology / Q000601:surgery*; D042883:Choledocholithiasis / Q000453:epidemiology / Q000601:surgery*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D005704:Gallbladder / Q000601:surgery; D006554:Hernia, Umbilical / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D011044:Poland / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology