Abstract

The purpose of this study was to analyze incidents and postoperative complications of the laparoscopic cholecystectomies performed for acute cholecystitis in 1453 patients in the 3rd Surgical Clinic, Cluj-Napoca. Hemorrhage occurred in 139 (9.5%) cases from which 75 (54%) lesions of the cystic artery, 63 (45.3%) cases of bleeding from the vesicular bed and 1 patient (0.72%) with section of the hepatic artery. Lesions of the bile ducts occurred in 13 (0.9%) patients from which 4 (3.07%) were on the right hepatic duct and 9 (6.93%) on the common bile duct. We encountered 152 (10.46%) early postoperative complications from which 92 (60.5%) were grade I, 56 (37%) grade II, 0 grade III and 4 (2.63%) grade IV, according to Clavien's classification. There were 35 (2.4%) nonspecific postoperative complications from which there where phlebitic reactions in 25 (71.4%) patients, phlebitis in 9 (25.7%) and upper digestive hemorrhage due to acutization of a duodenal ulcer in 1 patient (2.9%). We also registered a number of 20 (1.38%) later postoperative complications: 10 (50%) residual biliary lithiasis in the first postoperative year, and 10 (50%) hernias at the umbilical trocar insertion site.

Key words

Laparoscopic cholecystectomy - acute cholecystitis - incidents - postoperative complications