title: Complications of laparoscopic cholecystectomy and its prevention: a review and experience of 400 cases.
abstract: In the present era laparoscopic cholecystectomy (LC) has become the gold standard treatment of choice for gallstone disease. This technique has made a new revolution in minimal invasive surgery, but also the spectrum of complications has changed. In this paper we shared our personal experience of LC in 400 hundred cases from January 2007 to December 2010, its complications and prevention. According to our experience the complications were liver bed injury (n=32, 8%), spilled gall stones (n=29, 7.25%), port site infection (n=11, 2.75%), vascular injury (n=18, 4.5%), conversion to open surgery (n=16, 4%), biliary leak (n=10, 2.5%), bowel injury (n=3, 0.75%), CBD stricture (n=4, 1%) and umbilical port hernia (n=2, 0.5%). Before the procedure, patient consent and awareness to all possible complications which may occur intra-operatively is very important. A good surgical team and experience in this procedure seems to prevent hazardous complications.
authors.affiliation: The Central Hospital of Jiangin D C of China, Chongqing, China. fengyi420@gmail.com
authors.forename: Feng
authors.initials: F
authors.lastname: Yi
authors.forename: Wen-Sheng
authors.initials: WS
authors.lastname: Jin
authors.forename: De-Bing
authors.initials: DB
authors.lastname: Xiang
authors.forename: Gui-Yin
authors.initials: GY
authors.lastname: Sun
authors.forename: Dai
authors.initials: D
authors.lastname: Huaguo
mesh_terms: D001652:Bile Ducts / Q000293:injuries; D001660:Biliary Tract Diseases / Q000209:etiology / Q000517:prevention & control; D016063:Blood Loss, Surgical; D002681:China; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome