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Komplikationen in der minimalinvasiven Gallenblasenchirurgie

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Komplikationsmanagement in der Chirurgie

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Abstract

Die laparoskopische Cholezystektomie stellt den therapeutischen Goldstandard der Behandlung der symptomatischen Cholezystolithiasis dar und ist mit 175.000 Eingriffen pro Jahr eine der häufigsten Operationen in Deutschland. Über 90% aller Cholezystektomien erfolgen heute laparoskopisch. Trotz der steigenden operativen Erfahrung geht die laparoskopische Cholezystektoemie mit einer signifikanten Komplikationsrate einher, die nach wie vor höher als bei der „offenen“ Osteotomietechnik liegt. Verletzungen der Gallenwege, Gallenfisteln, Blutungen und Darmläsionen gehören zu den schweren Komplikationen der laparoskopischen Cholezystektomie. Diese Komplikationen entstehen meistens infolge einer zu weiten Indikationsstellung bzw. unzureichender Patientenselektion, mangelnder chirurgischen Erfahrung sowie der immanenten chirurgisch-technischen Einschränkungen der laparoskopischen Chirurgie.

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Authors and Affiliations

  1. Klinik für Allgemeine, Viszeral-, Transplantations-, Gefäß- und Thoraxchirurgie, Klinikum der Universität München, Campus Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    Andrej Khandoga PD Dr. med. & Markus Rentsch PD Dr. med.

  2. Klinik für Allgemeine, Viszeral-, Transplantations-, Gefäß und Thoraxchirurgie, Klinikum der Universität München, Campus Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    Maximilian Lerchenberger

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  1. Andrej Khandoga PD Dr. med.
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  2. Maximilian Lerchenberger
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  3. Markus Rentsch PD Dr. med.
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Correspondence to Andrej Khandoga PD Dr. med. .

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Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Markus Rentsch

  2. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Andrej Khandoga

  3. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Martin Angele

  4. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Germany

    Jens Werner

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Khandoga, A., Lerchenberger, M., Rentsch, M. (2015). Komplikationen in der minimalinvasiven Gallenblasenchirurgie. In: Rentsch, M., Khandoga, A., Angele, M., Werner, J. (eds) Komplikationsmanagement in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43475-8_25

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  • DOI: https://doi.org/10.1007/978-3-662-43475-8_25

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