Abstract

 


Laparoscopic cholecystectomy has become the treatment of choice for most patients with gallstones. After an intestinal injury that occured during umblical facial suturation in laparoscopic cholecystectomy, this prospective study was planned with a method to avoid this complication. From February 1996 to March 1997, 103 with gallstones patients operated on laparoscopically and facial closure was performed with this method (suturation of the umblical facia under direct visualization with scope). Age of the patients ranged from 21 to 78 years with an average of 49.2114.5 years, and 90 of the patients were female and 13 were male. Operative time ranged from 30 to 168 minutes, with an average of 76.1129.8 minutes. This method avoided an umblical suturation complication in one patient and also no incisional hernia occured in this study. Directly visualizing method with scope avoids the complications of facia suturation. Besides,since enough facia is suturated by this method, it may be possible to avoid incisional hernia. [Journal of Turgut Özal Medical Center 1997;4(2):151-154]

Key Words: Laparoscopy, cholecystectomy, complication, umblical hernia