Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 8529451

[Does the "Bergetrokar" decrease the rate of intraoperative complications in laparoscopic cholecystectomy?].

A Höferlin·W Röder·K D Höhle
View original source ↗Export metadata ↓

Abstract

Several international surveys have proved the laparoscopic cholecystectomy as a safe surgical technique. In spite of the good results there still exist operation-specific technical problems. The perforation of the gallbladder during dissection or while extracting it from the abdominal cavity can lead to severe complications. We analysed retrospectively 352 extractions of the gallbladder carried out with our 'Bergetrokar'. In 1.4% occurred perforation of the gallbladder and in 0.85% we had trouble with the healing. In 3.5% extraction could not be performed with the 'Bergetrokar'. Regarding these results our rates have been lower as compared in literature. In our opinion the extraction of the gallbladder through the lateral incision using the Bergetrokar represents a further step toward a safe extraction of the stonefilled gallbladder. Further the infection rate at the umbilical incision is reduced.

Explore related subjects

Cholecystectomy, LaparoscopicCholelithiasisEquipment DesignEquipment FailureGallbladderHumansIntraoperative ComplicationsRetrospective StudiesRupture, SpontaneousWound HealingEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

A Höferlin, W Röder, K D Höhle. 1995. [Does the "Bergetrokar" decrease the rate of intraoperative complications in laparoscopic cholecystectomy?].. https://pubmed.ncbi.nlm.nih.gov/8529451/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1999

Impairment of cardiac performance by laparoscopy in patients receiving positive end-expiratory pressure.

BACKGROUND: The cardiopulmonary effects of the combination of abdominal and thoracic pressures in humans have not been well delineated. OBJECTIVE: To study the cardiopulmonary effects of 15 mm Hg of intra-abdominal pressure in the presence and absence of 10 cm H20 of positive end-expiratory pressure (PEEP). DESIGN: Prospective. SETTING: University hospital. METHODS: Nine patients undergoing laparoscopic cholecystectomy had pulmonary compliance, cardiac output, exhaled carbon dioxide, and preload (left ventricular end-diastolic volume) determined at 4 points while undergoing ventilation with (1) no PEEP before pneumoperitoneum; (2) 10 cm H20 of PEEP and no pneumoperitoneum; (3) no PEEP and 15 mm Hg of pneumoperitoneum; and (4) 10 cm H20 of PEEP and 15 mm Hg of pneumoperitoneum. Preload and cardiac output were determined by means of transesophageal echocardiography. Pulmonary compliance and exhaled carbon dioxide were determined by an attachment to the end of the endotracheal tube. MAIN OUTCOME MEASURES: Preload, cardiac output, exhaled carbon dioxide, and pulmonary compliance. RESULTS: There was no significant change from baseline in preload, cardiac output, or pulmonary compliance when either PEEP or pneumoperitoneum was applied separately. However, there was a significant decrease in preload (P<.01), cardiac output (P = .01), and exhaled carbon dioxide (P =.04) when PEEP and pneumoperitoneum were applied together. Pulmonary compliance was not significantly affected at any of these points. CONCLUSIONS: There was a significant reduction in preload and cardiac output when there was intra-abdominal pressure of 15 mm Hg in the presence of 10 cm H20 of PEEP. This combination of pressures may pose a contraindication to laparoscopic surgery.

Cholecystectomy, Laparoscopic↗