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[Complications of laparoscopic cholecystectomy]
C Tombazzi1, B Lander, R Bacalao
1Cátedra de Clínica Gastroenterológica, Escuela de Medicina Luis Razetti de la Facultad de Medicina, Universidad Central de Venezuela, Hospital Universitario de Caracas.
G.E.N
|October 1, 1994
Summary
Laparoscopic cholecystectomy offers benefits like reduced pain and shorter hospital stays. However, this minimally invasive surgery is not complication-free, with various issues requiring intervention.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Context:
- Laparoscopic cholecystectomy, introduced in 1987, has become a preferred alternative to open surgery.
- The procedure offers advantages such as reduced postoperative pain, absence of paralytic ileus, and shorter hospitalization periods.
Purpose:
- To present and analyze complications associated with laparoscopic cholecystectomy in Venezuela.
- To evaluate the effectiveness of various treatment modalities for these complications.
Summary:
- Twelve complications were documented, including hepatic artery pseudoaneurysm, bile duct injuries, abscesses, biliary fistulas, and bilomas.
- Treatments included percutaneous drainage, endoscopic procedures, and arteriographic embolization, proving effective in managing several cases.
- Radiologic techniques and percutaneous drainage were beneficial in five instances, potentially avoiding surgical reintervention.
Impact:
- Highlights that laparoscopic cholecystectomy, despite its advantages, carries inherent risks.
- Demonstrates the utility of interventional radiology and endoscopic techniques in managing complications, potentially reducing the need for repeat surgeries.