Abstract

121 laparoscopic cholecystectomies performed in our clinic between Oct. 1992- Jan 1993. Laparoscopic cholecystectomy was converted to open cholecystectomy in 6 (4.9 %) cases. Reasons for open cholecystectomy vvere uncontrollable bleeding in 3 cases, duodenal injury in one case, duodenal fistulization of gallbladder in one case and anomaly of cystic artery in one case. We performed classical laparotomy in 2 cases and transrectal mini- laparotomy (3- 5 cm) in 4 cases. Although hospitalization period was 6 and 7 days in classical laparotomy cases, it was 2 days in mini- laparotomy cases. Return to active life was 20 days in mini- laparotomy cases while it was 30 days in the cases performed classical laparotomy. In conclusion, mini- laparotomic approach can be preferred for treatment of complications during laparoscopic cholecystectomy because of similar advantages.