Classical and laparoscopic cholecystectomy

Svrha izrade rada prikaz je klasične i laparoskopske kolecistektomije: indikacija, kontraindikacija, komplikacija te postupka izvođenja zahvata. Prikazan je i kratak uvod u anatomiju, fiziologiju, patologiju, kliničku sliku, dijagnostiku i liječenje bolesti žučnog sustava. U radu će se prikazati i podaci vezani za dijagnoze žučnih kamenaca unatrag dvanaest godina kao i usporedba broja izvedenih klasičnih i laparoskopskih operacijskih zahvata u tom periodu u Općoj bolnici Pula. Laparoskopska kolecistektomija zlatni je standard i predstavlja metodu izbora u liječenju kolelitijaze. Laparoskopska metoda kolecistektomije karakterizirana je manjom učestalošću razvoja komplikacija i kraćom hospitalizacijom od otvorene. Konverzija na otvoreni postupak ne označava neuspjeh, nego je jedan od načina kako zaštititi bolesnika i uspješno završiti zahvat.The purpose of the final thesis is to describe classic and laparoscopic cholecystectomy. Presentation of indications, contraindications, complications and procedure of the procedure. A brief introduction to the anatomy, physiology, pathology, clinical picture, diagnosis and treatment of diseases of the biliary system is also presented. Furthermore, the paper will present data related to the diagnosis of gallstones in the period of the last twelve years, as well as a comparison of the number of classical and laparoscopic surgical procedures performed in the same period in the General Hospital Pula. Laparoscopic cholecystectomy is the gold standard and represents the method of choice in the treatment of cholelithiasis. The laparoscopic method of cholecystectomy is characterized by a lower frequency of developing complications and a shorter hospitalization than in the open one. Conversion to an open procedure does not mean failure, but is one of the ways to protect the patient and successfully complete the procedure