كوله سيستكتومي لاپراسكوپي روشي برتر

Laparascopic cholecystectomy: Preferential Procedure

The gallbladder stone is a common disease; its best management is cholecystectomy with surgical operation. Since 1882 cholecystectomy is a conventional procedure, but Laparascopic cholecystectomy procedure initially begins in France (1978) and quickly spreads in USA, European countries, and other counties around the world. Its popularity was because reducing postoperative pain, abdomen aesthetics, patientsʹ quick return to normal daily activity, shortening hospitalization and reducing costly hospital expenses. In some private hospital in Iran since nearly 10 years ago laparascopic procedures - mainly cholecystectomy- usually are done, although it was not initially welcomed. It gradually spreads on nearly all training hospitals. Since 1373(1994) in Razi hospital 380 laparascopic procedures including 90 Cholecystectomies and others was diagnostic or cancer stagings. There were four general surgeons in Razi hospital, all in some way engaged in different Laparascopic procedures. For first 15 Laparascopic cholecystectomy operations we faced with many problems; all due our limited experiences; since then we had more experiences, and our next patients were as follow: Acute cholecystitis (12) chronic cholecystitis (shrinked gallbladders (four patients) and gallbladder empyems (two patients)). Mean of hospitalization was two days. In one case patient did not believe his/her management and repeatedly returned complaining of limited incision. In eight cases we forced to perform Conversion procedures; due to visceral perforations (three cases), hemorrhagia (one case), sever adhesions, and bad anatomical positions (four cases). It is noteworthy that four complications were in first 15 patients, and three in men. As described above we suggest Laparascopic cholecystectomy with an experienced team is a preferential procedure; limited incision and quickly return to normal daily activity are its advantages.