Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies

Ozgur, Ilker; Soytaş, Yiğit; Avtan, Levent; SORMAZ, İsmail Cem; GÖK, Ali Fuat Kaan

Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies

İsmail Cem SORMAZ, (İstanbul University)

Yiğit SOYTAŞ, (İstanbul University)

Ali Fuat Kaan GÖK, (İstanbul University)

İlker ÖZGÜR, (Acıbadem University)

Levent AVTAN (İstanbul University)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2018 Cilt: 24 Sayı: 1 Sayfa Aralığı: 66 - 70 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies

Öz:

BACKGROUND: This study aims to evaluate the impact of conversion from retrograde dissection to fundus-first technique (FF) or laparoscopic partial cholecystectomy (LPC) on complication rates, operation time, and duration of hospitalization.METHODS: The medical records of 210 consecutive patients who underwent laparoscopic cholecystectomy between January 2010 and December 2014 were retrospectively evaluated. All laparoscopic cholecystectomies were initiated with retrograde dissection (RD). In cases of difficulty in dissection of critical view of safety , the operation strategy was first converted to FF and then to LPC when FF was considered insufficient for safe cholecystectomy.RESULTS: Of the 210 cases, LC was initiated and completed with RD in 197 cases. FF was implemented in 13 cases due to difficulties in dissection. In the FF group, laparoscopic total cholecystectomy was successfully accomplished in seven patients, and LPC was performed in the remaining six cases. Three postoperative complications occurred in the RD group and two in the LPC group. No major intraoperative complications or perioperative mortality occurred in any patients.CONCLUSION: In elective, noncomplicated cases, the safe posterior window (critical view of safety) principle should be implemented. However, in complicated cases where anatomic uncertainties are dominant, the performance of FF technique or LPC may decrease conversion rates to open surgery and contribute to accomplishing the laparoscopic intervention safely

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	SORMAZ İ, Soytaş Y, GÖK A, Ozgur I, Avtan L (2018). Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. , 66 - 70.
Chicago	SORMAZ İsmail Cem,Soytaş Yiğit,GÖK Ali Fuat Kaan,Ozgur Ilker,Avtan Levent Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. (2018): 66 - 70.
MLA	SORMAZ İsmail Cem,Soytaş Yiğit,GÖK Ali Fuat Kaan,Ozgur Ilker,Avtan Levent Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. , 2018, ss.66 - 70.
AMA	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. . 2018; 66 - 70.
Vancouver	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. . 2018; 66 - 70.
IEEE	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L "Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies." , ss.66 - 70, 2018.
ISNAD	SORMAZ, İsmail Cem vd. "Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies". (2018), 66-70.

APA	SORMAZ İ, Soytaş Y, GÖK A, Ozgur I, Avtan L (2018). Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. Ulusal Travma ve Acil Cerrahi Dergisi, 24(1), 66 - 70.
Chicago	SORMAZ İsmail Cem,Soytaş Yiğit,GÖK Ali Fuat Kaan,Ozgur Ilker,Avtan Levent Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.1 (2018): 66 - 70.
MLA	SORMAZ İsmail Cem,Soytaş Yiğit,GÖK Ali Fuat Kaan,Ozgur Ilker,Avtan Levent Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.1, 2018, ss.66 - 70.
AMA	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(1): 66 - 70.
Vancouver	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(1): 66 - 70.
IEEE	SORMAZ İ,Soytaş Y,GÖK A,Ozgur I,Avtan L "Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.66 - 70, 2018.
ISNAD	SORMAZ, İsmail Cem vd. "Fundus-first technique and partial cholecystectomy for difficult laparoscopic cholecystectomies". Ulusal Travma ve Acil Cerrahi Dergisi 24/1 (2018), 66-70.