MAJOR COMPLICATIONS OF LAPAROSCOPIC CHOLE CYSTECTOMY

We report on complications of laparoscopic cholecystectomy which neede d surgical intervention. These complications occurred in 10 out of 250 patients operated at our hospital and 2 patients admitted with compli cations. In 3 cases the common bile duct was cut and a hepaticojejunos tomy was carried out. 3 patients with an insufficiency of the cystic d uct were treated by laparotomy. In 2 cases common bile duct stones had to be endoscopically removed, 1 patient suffered from a pneumothorax due to damage of the diaphragm, The tear was laproscopically sewed. In one case the abdominal aorta had to be oversewed because of its damag e by the needle during creation of the pneumoperitoneum. One patient w ith adhesions suffered from a perforation of the gut as the trocar was introduced. 2 patients developed an umbilical hernia and underwent su rgical herniotomy. In spite of all advantages minimal access surgery o f the gallbladder seems to be afflected with more serious complication s than open approach.