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Med Arch. 2011; 65(6): 336-338


Rate of Complications and Conversions After Laparoscopic and Open Cholecystectomy

Hajrudin Halilovic, Sefik Hasukic, Ervin Matovic, Goran Imamovic.

Abstract
Background: Colorectal carcinoma is second commonest cancer causing death in Kosova. Methodology: In our study we present diagnostic methods, treatment, localization and laboratory findings in 155 patients, during 4 year period in patients with colorectal carcinomas treated in our clinic. Results: Ninety four 94 (61.4%) of patients were male gender and 59 (38.6%) were female. Eritrosedimentation was elevated in 103 (67.3%) of patients, number of white blood cells was increased in 21 (7.2%) of patients and high level of glycemia is present in 11 (7.2%) of patients. The most involved age is from 41-50 years. The most common site of involvement was the rectum in 79 (51.6%), localization in sigma was in 37 (23.5 %), the transverse colon in 21 (13.7 %) of cases and the ascendant colon in 18 (11.1%) patients. Adenocarcinoma (98%) was the most common histiotype. Conclusion: We concluded, that all patients, especially with positive familial history must begin screening in age 40, during which colorectal carcinoma can be diagnosed in an early stage. Key words: colorectal carcinomas, diagnoses, trea Background and objectives: Although many advantages of laparoscopic method in regard to open one have been already proved, both surgical methods may cause a certain number of complications. The goal of the study is to answer the question: Is Laparoscopic Cholecystectomy (LC) safer and more satisfactory method than open cholecystectomy (OC) concerning number, type and seriousness of complications? Design and Setting: Prospective, the research includes all patients in Bihać Cantonal Hospital during 2007, who had cholecystectomy, laparoscopic or open, because of the gallbladder calculosus. Methods: The study has included 476 patients who had cholecystectomy and who satisfied standards for this study. Of the total number of patients, 293 of them had laparoscopic cholecystectomy and 183 open cholecystectomy. Total number of complications is established for each group of patients. Results: The study has shown that there were more complications in patients operated by open method than in those operated by laparoscopic cholecystectomy (p

Key words: Laparoscopic cholecystectomy, open cholecystectomy, complications, conversions.tment.


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