South Clin Ist Euras. 2012; 23(1): 18-20 | DOI: 10.5505/jkartaltr.2012.24392

Üç porttan laparoskopik kolesistektomi deneyimi

Burhan Hakan Kanat¹, Mustafa Girgin^2
1Elazýð Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Elazýð
²Fýrat Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Elazýð

AMAÇ: Bu çalýþmada, semptomatik safra kesesi taþý nedeniyle üç porttan laparoskopik kolesistektomi (LK) yapýlan olgular geriye dönük olarak incelendi ve üç port LK’nýn güvenliði araþtýrýldý.
YÖNTEMLER: Semptomatik safra kesesi taþý nedeniyle LK yapýlan toplam 32 hasta geriye dönük olarak incelendi. Hastalarda dördüncü port gereksinimi, ameliyat süresi, ve komplikasyon oranlarý incelendi.
BULGULAR: Olgularýn 24’ü (%75) kadýn, 8’i (%25) erkekti. 32 hastanýn 29’una (%90.6) üç porttan güvenli bir þekilde LK uygulandý. Üç (%9.4) olguda dördüncü trokar gereksinimi oldu. Hiçbir olguda safra fistülü, safra sýzýntýsý veya safra yolu yaralanmasý gibi majör komplikasyonlar ya da mortalite izlenmedi.
SONUÇ: Semptomatik kolelithiyazisli hastalarda uygulanan 3 port LK’nin güvenli olduðu ve morbiditeyi artýrmadýðý görüldü.

Anahtar Kelimeler: Güvenli kolesistektomi, laparoskopik kolesistektomi, port sayýsý

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Effects of patients with three port laparoscopic cholecystectomy

Burhan Hakan Kanat¹, Mustafa Girgin^2
1Elazig Training and Research Hospital, Department of General Surgery, Elazig, Turkey
²Firat University Faculty of Medicine, Department of General Surgery, Elazig, Turkey

OBJECTIVE: In this study, we aimed to examine patients with three port-laparoscopic cholecystectomy (LC) due to symptomatic cholelithiasis and to investigate the safety of the three-port LC, retrospectively.
METHODS: In total, 32 patients who received three port-LC due to symptomatic cholelithiasis were investigated in a retrospective fashion. Requirement of a fourth port, length of operation,
and complication rates were evaluated.
RESULTS: Twenty-four cases (75%) were female and 8 (25%) were male. Out of 32 patients, 29 (90.6%) received the threeport laparoscopic cholecystectomy successfully. Three (9.37%)
cases required a fourth port. None of the cases demonstrated mortality or major complications such as biliary fistula, leak, or injury.
CONCLUSION: Three-port LC in patients with symptomatic cholelithiasis was found to be safe and no increase in morbidity was observed.

Keywords: Safe cholecystectomy, laparoscopic cholecystectomy, the number of ports

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ATIF KOPYALA