The outcome of XXXX during laparoscopic cholecystectomy.

@entity1 @entity1085 @entity1157 @entity2963 @entity2679 @entity733 @entity130 @entity1173
PURPOSE: Laparoscopic cholecystectomy (LC) has become the standard treatment for symptomatic @entity2963 . The perforation of @entity1085 , bile and stone spillage, @entity130 to bile duct are the most common complications of LC. This study was carried out to assess the outcome of @entity1085 ( @entity1085 ) during LC. MATERIAL AND METHODS: Between 1991 and 2001, intraoperative @entity1085 occurred in 48 @entity1 during LC among 336 @entity1 who were operated on for acute @entity2679 in 14, and for chronic @entity2679 in 322. RESULTS: Perforation was observed in 48 @entity1 (14%). Perforation occurred during traction and grasping in 36 @entity1 (75%), dissection of @entity1085 in 8 @entity1 (16%), and @entity1085 in 4 @entity1 (8%). @entity1157 occurred in 40 @entity1 (83%) while bile and stone spillage was present in 8 @entity1 (16%). During the follow-up period, a @entity1 was diagnosed with a @entity733 on the 15th postoperative day and percutaneous drainage was performed. CONCLUSIONS: During LC careful attention must be taken in order to prevent perforation, and the procedure must be performed by experienced surgeons with adequate instrumentations. If perforation occurs, extensive prompt retrieval of the bile and stone spillage must be done along with abundant irrigation. In case of inadequate @entity1173 and irrigation, the @entity1 must be closely followed.
