دوره 53، شماره 2 - ( 2-1374 )
جلد 53 شماره 2 صفحات 30-26 |
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Rabbani A, Mir Sharifi S, Razavi Emami S. Reporting of 100 cases of laparoscopic cholecystectomy in Imam Khomeini Hospital . Tehran Univ Med J 1995; 53 (2) :26-30
URL: http://tumj.tums.ac.ir/article-1-5636-fa.html
URL: http://tumj.tums.ac.ir/article-1-5636-fa.html
گزارش 100 مورد لاپارسکوپی. مجله دانشکده پزشکی، دانشگاه علوم پزشکی تهران. 1374; 53 (2) :26-30
چکیده: (11341 مشاهده)
100 patients (93 females and 7 males) in ages ranging between 23 and 65 years were subjected to laparoscopic cholecystectomy for biliary colic (92 pts), acute cholecystitis (7 pts) or asymptomatic gallstones (1 pt). None had a history of icterus and in every case choledocholithiasis was excluded by means of serum alkaline phosphatase assessment and sonography (In addition to ERCP in 3 pts). 3 operations were converted to open cholecystectomy (Because of uncertainty about anatomy in 1 pt, extensive adhesions in 1 pt, and persistent bleeding in 1 pt). Mean operation time was 80 min. 90 patients were discharged on the 2nd post-operative day. Apart from 2 pts who were readmitted (For omental evisceration in 1 pt and sub hepatic hematoma in 1), complications were limited to minor complaints. Laparoscopic cholecystectomy is a safe procedure in the hands of a skilled surgeon who is aware of anatomic variations and is always prepared to liberally convert the operation to an open cholecystectomy
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