Avtor/Urednik     Tanović, H; Akšamija, G
Naslov     Valorizacija zapletov pri laparoskopskih holecistektomijah v začetnem obdobju na kliniki za abdominalno kirurgijo KCU Sarajevo
Prevedeni naslov     Evaluation of complications in the initial series of laparoscopic cholecystectomies done at the Department of abdominal surgery, Sarajevo
Tip     članek
Vir     Endoskopska revija
Vol. in št.     Letnik 4, št. 10
Leto izdaje     1999
Obseg     str. 169-72
Jezik     slo
Abstrakt     In Sarajevo, laparoscopic surgery began to be introduced in 1998. No operative procedure is free of complications, yet the incidence of complications tends to be higher for newly introduced techniques. The authors compare the complication rate in their initial series with the data from the literature. Laparoscopic procedures were performed in two specially equipped operation theatres. During the period studied, 681 cholecystectomies, of which 128 laparoscopic cholecystectomies, were done at the Sarajevo Department. Conversion to the classical technique was required in 5 cases. Conversions were not included in the analysis as they were not regarded as operative complications. Reoperation was required in 3 cases: in one for biliary secretion, in one for postoperative bleeding and in one for paralytic ileus secondary to strangulation of the bowel. Infection at the trocar site occurred in 7 cases. The incidence of complucations in the reported series of laparoscopic cholecystectomies is comparable to the published results. In conclusion, at the Department of Abdominal Surgery, Sarajevo, the incidence of complications of laparoscopic cholecystectomies in the first year of use did not exceed the figures reported in the literature.
Izvleček     Laparoskopska kirurška tehnika se je pričela v Sarajevu uvajati leta 1998. Vsaka operativna metoda je povezana z zapleti, ki jih je potrebno statistično spremljati. Pojavnost zapletov v začetnem obdobju uvajanja nove operativne tehnike je navadno nekoliko večja. V članku smo analizirali rezultate v prvem letu po uvedbi nove opeativne metode. Želeli smo primerjati naše zaplete pri laparoskopski holecistektomji v začetnem obdobju s podatki v literaturi. Operacije smo opravljali v devh operacijskih dvoranah, ki sta opremljeni za laparoskopske operacije. V obdobju, ki smo ga analizirali, smo napravili 681 holecistektomij, na laparoskopski način je bilo napravljenih 128 operacij. Petkrat smo naparavili konverzijo, kar ne smatramo kot zaplet. Zato konverzije niso vključene v statistično analizo. Trikrat smo morali opraviti ponoven poseg: enkrat zaradi iztekanja žolča, drugič zaradi pooperativne krvbavitve, tretjič pa zaradi ileusa, ki je nastal zaradi vkleščenja črevesne vijuge. Okužbo na mestu troakarja smo opazovali sedemkrat. Pojavnost zapletov z naši seriji laparoskopskih holecistektomij je v glavnem podobna kot v literaturi, zato menimo, da pojavnost zapletov v prvem letu uvajanja laparoskopske holecistektomije na Kliniki za obdominalno kirurgijo v Sarajevu ni presegala odstotka, ki ga zasledimo v svetovni literaturi.
Deskriptorji     CHOLECYSTECTOMY, LAPAROSCOPIC
POSTOPERATIVE COMPLICATIONS
BOSNIA-HERZEGOVINA