Department of Surgery Faculty of Medicine Al-Fateh University Tripoli (GSPLAJ)
LJMR. Vol 1, No.1 2002: 16-22
Cholecystectomy remains the main method of treatment for symptomatic gallbladder stones, and this procedure is now being essentially performed laparosopically in many hospitals throughout the world with great benefit and acceptable complication rates.
Laparsopic cholecystectomy (LC) has an increased incidence of bile duct injury and of bile leak when compared with open cholecystectomy. Strategies by which these potentially lethal complications can be avoided or minimised have been recommended and new principles of treatment for their management have been developed. Cholecithiasis is a common surgical diagnosis in many developing countries hospitals, and the number of patients undergoing LC appears to be increasing annually. The rate of post-LC biliary complications in such an environment is difficult to assess, and advantages of recently developed diagnostic and treatment modalities may not be readily available for their optimal management. This article synthesises the data available in the literature on LC and on its biliary complications, and briefly reports on the author’s experience with introduction and expansion of LC in Libya.
Keywords: Laparoscopic Cholecystectomy 10 years later. Experience with its introduction and expansion in Libya