Gallkaganir á Landspítalanum : fyrstu 353 tilfellin
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: Since the first laparoscopic cholecystectomy done at the Department of Surgery in November 1991, our aim has been to operate on all presenting patients by this method. Material and methods: Fr...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/49334 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/49334 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/49334 2023-05-15T16:49:08+02:00 Gallkaganir á Landspítalanum : fyrstu 353 tilfellin Laparoscopic Cholecystectomy at Landspítalinn, University Hospital of Iceland. The first 353 cases Kristján Óskarsson Margrét Oddsdóttir Jónas Magnússon 2009-02-17 http://hdl.handle.net/2336/49334 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 2008, 84(6):461-5 0023-7213 http://hdl.handle.net/2336/49334 Læknablaðið Gallkögun Fylgikvillar Cholecystectomy Laparoscopic Iceland Article 2009 ftlandspitaliuni 2022-05-29T08:21:16Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: Since the first laparoscopic cholecystectomy done at the Department of Surgery in November 1991, our aim has been to operate on all presenting patients by this method. Material and methods: From November 17th 1991 until September 30th 1994, 384 cholecystectomies were performed. Open cholecystectomy was performed in 31 patients. The most frequent causes for open operation were; suspected stones in the choledochus, acute cholecystitis or biliary sepsis. The objective of this study was to determine the frequency of procedure-related complications and the frequency of conversion to open surgery. Furthermore, the operation time, the length of post-operative hospital stay, mortality and morbidity were studied. Results: A retrospective analysis of patients undergoing cholecystectomy during this period was performed. Post-operatively patients were also contacted by telephone. There were 121 males and 263 females, ranging between three and 91 year of age. Mean age was 53.2 years. Urgent operations (operation performed after emergency admission) were 43.9%, being highest in the last period of the study. Conversion to open surgery was needed in 63 cases (17.8%). The reasons were; adhesions (39.7%), unclear anatomy (17%) and bleeding (15.9%). Conversion rate was 13% for elective operations but 24% for acute cases. Reoperation was needed in 11 cases (3.8%). Seven patients were reoperated during the same hospital admission but four later on. The reasons were; bleeding (four), bile leakage (three), common duct stone (two), subphrenic abscess (one) and injury to the common bile duct (one). One patient (83 years old male) died of pulmonary embolus after a converted operation. The mean operation time for laparoscopic cholecystectomy was 94.9 minutes (30-210 minutes). For the first 100 operations the mean operative time was 99.3 minutes but 85.5 minutes for the last 100. The mean hospital stay after laparoscopic ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Gallkögun Fylgikvillar Cholecystectomy Laparoscopic Iceland |
spellingShingle |
Gallkögun Fylgikvillar Cholecystectomy Laparoscopic Iceland Kristján Óskarsson Margrét Oddsdóttir Jónas Magnússon Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
topic_facet |
Gallkögun Fylgikvillar Cholecystectomy Laparoscopic Iceland |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Objective: Since the first laparoscopic cholecystectomy done at the Department of Surgery in November 1991, our aim has been to operate on all presenting patients by this method. Material and methods: From November 17th 1991 until September 30th 1994, 384 cholecystectomies were performed. Open cholecystectomy was performed in 31 patients. The most frequent causes for open operation were; suspected stones in the choledochus, acute cholecystitis or biliary sepsis. The objective of this study was to determine the frequency of procedure-related complications and the frequency of conversion to open surgery. Furthermore, the operation time, the length of post-operative hospital stay, mortality and morbidity were studied. Results: A retrospective analysis of patients undergoing cholecystectomy during this period was performed. Post-operatively patients were also contacted by telephone. There were 121 males and 263 females, ranging between three and 91 year of age. Mean age was 53.2 years. Urgent operations (operation performed after emergency admission) were 43.9%, being highest in the last period of the study. Conversion to open surgery was needed in 63 cases (17.8%). The reasons were; adhesions (39.7%), unclear anatomy (17%) and bleeding (15.9%). Conversion rate was 13% for elective operations but 24% for acute cases. Reoperation was needed in 11 cases (3.8%). Seven patients were reoperated during the same hospital admission but four later on. The reasons were; bleeding (four), bile leakage (three), common duct stone (two), subphrenic abscess (one) and injury to the common bile duct (one). One patient (83 years old male) died of pulmonary embolus after a converted operation. The mean operation time for laparoscopic cholecystectomy was 94.9 minutes (30-210 minutes). For the first 100 operations the mean operative time was 99.3 minutes but 85.5 minutes for the last 100. The mean hospital stay after laparoscopic ... |
format |
Article in Journal/Newspaper |
author |
Kristján Óskarsson Margrét Oddsdóttir Jónas Magnússon |
author_facet |
Kristján Óskarsson Margrét Oddsdóttir Jónas Magnússon |
author_sort |
Kristján Óskarsson |
title |
Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
title_short |
Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
title_full |
Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
title_fullStr |
Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
title_full_unstemmed |
Gallkaganir á Landspítalanum : fyrstu 353 tilfellin |
title_sort |
gallkaganir á landspítalanum : fyrstu 353 tilfellin |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/49334 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Smella |
geographic_facet |
Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 2008, 84(6):461-5 0023-7213 http://hdl.handle.net/2336/49334 Læknablaðið |
_version_ |
1766039200868597760 |