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النتائج السريرية لانثقاب المرارة اثناء عملية استئصال المرارة بالمنظار في مستشفى الحسين التعليمي 2018 == Clinical outcomes of Gall bladder perforation during laparoscopic cholecystectomy in AL - Husain Teaching hospital 2018
Author name:
كاظم جواد كاظم
Supervisor name:
مهند عبد الرضا عكموش
General topic:
Medicine
Specific topic:
Surgery
Degree:
Higher Diploma
University:
University of Thi-Qar - Faculty Of Medicine
Language:
English
University location:
Dhi Qar
First pages:
19T1656 - p.pdf
Abstract:
The most common surgical procedure as laparoscopy, performed all over the world is Lap. chole. .It has now become the golden procedure of management for gallstones. Even though, there are many attempts to explore the influence of perforation of gallbladder on the clinical outcomes, but the conflicting results are still. Because of increasing in the attempts at minimally invasive surgery, during lap chole; accidental gallbladder perforation is on rise. Aims : The researcher try to investigate criteria and the clinical outcomes and the risk factors in patients who develop gallbladder perforation during Lap Chole. Methods : An (80) patients had been undergo Lap.chole.. by a cross sectional comparative analytical study in prospective pattern had been carried out in Al - Hussain teaching hospital - Thi - Qar - Iraq. The data collection phase extended over a period of 7 months from 2nd of January 2018 to 1st of august 2018. Each participants subjected to a questionnaire that include : personal socio - demography, and fallowed up for at least one week to assess the outcome. The data analyzed by using SPSS (version 23). p value less than 0.05 was considered as statistically significant .XIIResults : Eighty (80) patients sustained a gallbladder perforation, the bulk of the sampled cases taken was females were mostly at age of 40 - 60 years, and Al - Nasiriya residency, and these are not the total number of cases of accidental gallbladder perforation during laparoscopic cholecystectomy within 7 months of the study, only two cases ended with sub - hepatic collection, there was statistical association between type of perforation and some determinants such age and gender (p value=0.001), while there was no sig. Statistical association between complication and studied variables (P value >0.05) . Conclusion : The most age of occurrence of the complication is the peak age of gall stone development, and because the large number of female patient in our study, so female consider the main affected gender for both gall bladder diseases and perforation during lap. chole.. Accidental gallbladder perforation can be caused mainly by technical errors.
