Laparoscopic cholecystectomy

Emre, Şenol; Tekant, Gonca; Şenyüz, Osman Faruk

doi:10.5222/jtaps.2016.197

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…In our study, DGR was seen in 25 of 60 patients. DGR after cholecystectomy is generally seen in women over 40 years of age (8). In our study, more DGRs were encountered in the 4th and 5th decades.…”

Section: Resultssupporting

confidence: 46%

Kolesistektomi Sırasında Cerrahi Tekniğin Duodenogastrik Reflü Üzerine Etkisi

Pirhan

Tasova

2021

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Objective: It is stated in the literature that some patients have dyspeptic complaints after months from cholecystectomy. The reason for this situation has not been established. It is more often attributed to the bile leakage from the duodenum to the stomach. Therefore, in our study we investigated whether the surgical technique applied during cholecystectomy caused postoperative duodenogastric reflux. In this study, it was aimed to investigate the effects of Calot's triangle dissection type (high dissection, low dissection) on post-operative duodenogastric reflux due to Oddi's sphincter dysfunction during laparoscopic cholecystectomy. Material and Methods:In the study, laparoscopic cholecystectomy was performed in two groups. One day before cholecystectomy, all patients underwent gastroscopy. During cholecystectomy, dissection of gallbladder was carried out close to the gallbladder in the first group (high dissection), while dissection was carried out close to ductus choledochus in the second group (low dissection). Two months after the operation, all patients were called back and gastroscopy was performed. Whether there was bile reflux from pylorus to the stomach was checked.Results: Of the patients, 78.3% were female and 21.7% were male. The average age was 51.5 years (min-max: 25-76 years). Most of the patients (n:19, 31.7%) were in the 4th decade. Post-operative bile reflux was detected in 25 (41.7%) of all patients. Duodenogastric reflux was detected in 6 patients in group 1 and 19 patients in group 2. While there was a statistically significant relationship between the occurrence of postoperative reflux and dissection type, age, ASA score and presence of diabetes, no relationship was found with gender. Conclusion:If less duodenogastric reflux is desired after cholestectomy, we recommend dissection rather close to the gallbladder during cholecystectomy.

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Section: Resultssupporting

confidence: 46%

Kolesistektomi Sırasında Cerrahi Tekniğin Duodenogastrik Reflü Üzerine Etkisi

Pirhan

Tasova

2021

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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“…Çalışmamızda, son beş yılda yapılan kolesistektomi sayısının, bir önceki beş yıla göre 2,5 kat artış göstermesi literatürü desteklemektedir. Çocuklarda kolesistektomi nedeni sıklıkla safra kesesi taşı olmakla birlikte, safra kesesi polipleri, biliyer diskinezi ve porselen kese gibi daha nadir görülen safra kesesi patolojileri de kolesistektomi gerektirebilmektedir (7) . Son yıllarda biliyer diskinezi nedeniyle yapılan kolesistektomilerin sayısında da artış olsa da, biliyer diskinezi tanısı ve kolesistektominin bu hastalarda ne kadar yarar sağlayacağı halen tartışmalıdır (8,9) .…”

Section: Discussionunclassified

“…Çocuklarda kolesistektomi ameliyatında laparoskopik cerrahi altın standart haline gelmiştir (7,24) . Laparoskopinin, açık ameliyata göre kolesistektomide daha iyi kozmetik sonuç, ameliyat sonrası erken iyileşme, günübirlik bir cerrahi olarak uygulanabilmesi gibi avantajları vardır (25) .…”

Section: Discussionunclassified

“…Kolesistektomiye bağlı safra yolu yaralanması gelişen hastaların, çocukluk çağında ERKP ve PTK da yapılabilen, deneyimli bir cerrahi merkezde tedavi edilmesi daha doğru olacaktır. Son yıllarda birçok cerrahın tercih ettiği, safra yolu anatomisinin daha iyi ortaya konmasına olanak sağlayan güvenli kolesistektomi yöntemi ile laparoskopik kolesistektomi sırasında gelişen safra yolu yaralanmalarının büyük oranda azaldığı görülmektedir (7) . Güvenli kolesistektomi yöntemi ile sistik kanal ve arter ayrı ayrı görülerek safra yolu yaralanması riski en aza indirilmiş olur (7,29) .…”

Section: Discussionunclassified

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