Complications and Outcomes in Laparoscopic Cholecystectomy
EAES Academy. Madjov R. 07/05/22; 366529; P272
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Abstract
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Laparoscopic Cholecystectomy/LC/ is the gold standard for management of benign gallbladder disease. There are multiple anatomy/patient-related and surgical team-related risk factors that can contribute to the complexity of the procedure and increase the risk of intra- and postoperative complications.
The most important complications are: bleeding from the liver bed – 5-8%; bile duct injuries – 0,2-0,6%; minor vascular injuries – 0,1-0,2%; major vascular injuries – 0,07-0,2%; bowel lesions – 0,07-0,4%; abdominal wall hematoma: case reports.
Authors analise 91 pts with iatrogenic bile duct lesions – diagnosis, treatment strategy and results /early and late/.
Prevention, early recognition and proper management are the triumvirate in surgical complications. The main questions are: Who? When? and How? to proceed in such patients.
If you diagnose a problem, choosing the correct route of action is not always easy and depends much on availability and approaches of imaging and interventional modalities /nonoperative management is possible in many situations – CT, ERCP and MRCP – both diagnostic and therapeutic modalities/ and surgical team practice in HPB surgery.
Early re-exploration may give an early diagnosis and allow early correction but it should be used selectively. Best results with lower morbidity and shorter hospitalization are associated with treatment performed in centers that specialize in hepatobiliary surgery.
The most important complications are: bleeding from the liver bed – 5-8%; bile duct injuries – 0,2-0,6%; minor vascular injuries – 0,1-0,2%; major vascular injuries – 0,07-0,2%; bowel lesions – 0,07-0,4%; abdominal wall hematoma: case reports.
Authors analise 91 pts with iatrogenic bile duct lesions – diagnosis, treatment strategy and results /early and late/.
Prevention, early recognition and proper management are the triumvirate in surgical complications. The main questions are: Who? When? and How? to proceed in such patients.
If you diagnose a problem, choosing the correct route of action is not always easy and depends much on availability and approaches of imaging and interventional modalities /nonoperative management is possible in many situations – CT, ERCP and MRCP – both diagnostic and therapeutic modalities/ and surgical team practice in HPB surgery.
Early re-exploration may give an early diagnosis and allow early correction but it should be used selectively. Best results with lower morbidity and shorter hospitalization are associated with treatment performed in centers that specialize in hepatobiliary surgery.
Laparoscopic Cholecystectomy/LC/ is the gold standard for management of benign gallbladder disease. There are multiple anatomy/patient-related and surgical team-related risk factors that can contribute to the complexity of the procedure and increase the risk of intra- and postoperative complications.
The most important complications are: bleeding from the liver bed – 5-8%; bile duct injuries – 0,2-0,6%; minor vascular injuries – 0,1-0,2%; major vascular injuries – 0,07-0,2%; bowel lesions – 0,07-0,4%; abdominal wall hematoma: case reports.
Authors analise 91 pts with iatrogenic bile duct lesions – diagnosis, treatment strategy and results /early and late/.
Prevention, early recognition and proper management are the triumvirate in surgical complications. The main questions are: Who? When? and How? to proceed in such patients.
If you diagnose a problem, choosing the correct route of action is not always easy and depends much on availability and approaches of imaging and interventional modalities /nonoperative management is possible in many situations – CT, ERCP and MRCP – both diagnostic and therapeutic modalities/ and surgical team practice in HPB surgery.
Early re-exploration may give an early diagnosis and allow early correction but it should be used selectively. Best results with lower morbidity and shorter hospitalization are associated with treatment performed in centers that specialize in hepatobiliary surgery.
The most important complications are: bleeding from the liver bed – 5-8%; bile duct injuries – 0,2-0,6%; minor vascular injuries – 0,1-0,2%; major vascular injuries – 0,07-0,2%; bowel lesions – 0,07-0,4%; abdominal wall hematoma: case reports.
Authors analise 91 pts with iatrogenic bile duct lesions – diagnosis, treatment strategy and results /early and late/.
Prevention, early recognition and proper management are the triumvirate in surgical complications. The main questions are: Who? When? and How? to proceed in such patients.
If you diagnose a problem, choosing the correct route of action is not always easy and depends much on availability and approaches of imaging and interventional modalities /nonoperative management is possible in many situations – CT, ERCP and MRCP – both diagnostic and therapeutic modalities/ and surgical team practice in HPB surgery.
Early re-exploration may give an early diagnosis and allow early correction but it should be used selectively. Best results with lower morbidity and shorter hospitalization are associated with treatment performed in centers that specialize in hepatobiliary surgery.
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