Erdem KARADENİZ, Bünyami ÖZOĞUL, Mehmet YILDIRGAN, Abdullah KISAOĞLU, Sabri ATAMANALP

Determinaton of eligibility for laparoscopic cholecystectomy of elective patients

We defined possible complications and difficulty grade of surgery at frequent symptomatic cholelithiasis cases and laparoscopic cholesistectomy surgeries which is accepted exclusive cure technique with evaluating a number of preoperative parameters. Fifty patients who applied to Ataturk University Medical Faculty Department of General Surgery with cholelithiasis diagnosis and planned to undergo laparoscopic cholesistectomy were included in this study. These patient’s volume of gallbladder, the extreme dimensions, thickness of wall, count of gallstone and dimensions of the biggest stone, length of cystic canal, measured by magnetic resonance cholangiopancreatography; preoperative ages, genders and preoperative endoscopic retrograde cholangiopancreatography story were recorded.To detect difficulty of patients’ surgery, a grading system was established based on surgery time, count surgery port, difficulty of Callot dissection, difficulty of bad dissection, intraoperative injury of bile duct, intraoperative gallbladder perforation, applying drainage and passing to open procedure parameters. The statical relationship of preoperative data and surgery points were analysed. The difficulty of surgery was not statically related with age, gender, thickness of wall of gallbladder, count of gallstone and dimensions of the biggest stone, length of cystic canal, and preoperative endoscopic retrograde cholangiopancreatography story (p>0.05). A meaningful relationship was found between surgery difficulty and gallbladder volume over 30 cm³ or extreme dimension over 40 mm (p

Keywords:

Elective surgery; laparoscopic cholecystectomy; gallbladder,

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