The impact of surgical experience on complications of laparoscopic cholecystectomy

Heart Vessels and Transplantation

article

R. K. Zhortuchiev¹  Alymkadyr S. Beyshenaliev¹  K. I. Niyazbekov¹  M. M. Mamakeev¹ 

[1] Kyrgyz National Center of Surgery

关键词: cholecystitis;    laparoscopic cholecystectomy;    intraoperative complications;    postoperative complications;    conversion;    surgical experience;   

DOI  :  10.24969/hvt.2020.188

学科分类：社会科学、人文和艺术（综合）

来源: Center for Postgraduate Education and Scientific Research

【 摘 要 】

Objective: Laparoscopic cholecystectomy (LC) is the gold standard option for the surgical treatment of cholecystitis.Meanwhile, experience of surgical center and operator play central role in adequate management of patients withgallbladder disorders. The aim of this study is to analyze complications and conversion rates of laparoscopiccholecystectomy at various periods of implication of the method in a single center.Methods: We retrospectively analyzed early complications of 6381 patients operated due to various forms ofcholecystitis according to periods of implication of LC in Kyrgyz National Center of General Surgery (1996-2019). Patientswere divided into 3 groups: first group of patients were operated from 1996 to 2004 during first implementation oftechnique (n=1446); second group patients underwent operation between 2005-2008, when operators concentrated ontechnical skills (n=1225); third group of patients operated between 2009 and 2019, when surgical team concentrated onprevention of complications.Results: Both complication and conversion cases represented strong association with surgical experience. The highestcomplications (4.8% vs 1.5% and 0.4%, respectively, p<0.001) and conversion to surgical cholecystectomy (11.2% vs 1.5%and 0.1%, respectively, p=0.001) rates were detected in group 1 as compared to groups 2 and 3.Conclusion: Occurrence of complications and conversion to conventional surgical cholecystectomy reduced over time,depending on surgical experience of operating team and practice of operator.

【 授权许可】

CC BY-NC-ND