Coleperitônio após colecistectomia convencional tratado por via laparoscopica

Comparative study between ligature with thread or metallic clamping by means of laparoscopy with the purpose of experimental biliary obstruction in swines

“…However, the three ligation with metal clip, two drilling common bile duct presented with the clip, developed with biliar peritonitis and consequently died after three and five days post-obstruction. This fact may have resulted from the procedure for biliary obstruction, which by compressing the common bile duct caused cholestasis with consequent distention of the ducts of the biliary ducts and gallbladder, and the same thinning of the wall, leading to compression of vessels responsible for irrigation with consequent progressive necrosis of hypoxic cell wall, causing rupture and leakage of bile into the peritoneal cavity and biliar peritonitis, taking the animal to death 47,49,[60][61][62] . Rupture of the gallbladder is usually associated with lesions of other structures such as mechanical irritation caused by stones in the wall of the organ, intravesicular pressure increase attributed to obstruction or severe inflammation and necrotizing ischemia, intravesicular pressure increase attributed to obstruction or severe necrotizing inflammation and ischemia, leading to biliar peritonitis and, consequently, evolution to death and increased mortality of traumatized 9,11 .…”

Laparoscopia no abdome agudo inflamatório de difícil diagnóstico

“…Atualmente, com o desenvolvimento dos equipamentos e sistemas ópticos, a laparoscopia teve ampla aceitação pelos cirurgiões do mundo todo, e passou a ser método terapêutico para diversas afecções abdominais. [6][7][8][9] Empregada para tratamento de doenças eletivas, com o aperfeiçoamento técnico, os cirurgiões passaram a utiliza-lá no trauma [10][11][12][13] e em doenças abdominais agudas. [14][15] O abdome agudo inflamatório é a afecção abdominal mais comum no pronto-socorro cirúrgico, e a apendicite aguda a etiologia mais frequente.…”