[Difficulties in laparoscopic surgery].

UNLABELLED: In the year 1996 in the Surgery Section of the Town's Hospital Moineşti and Private Clinic "Medical Service" Bacău the first 100 laparoscopies were realised: 70 for cholecystectomies, 15 operations gynecologic, 10 for appendectomies, 2 adeziolize and diagnostic laparoscopies. The rate of the conversions was 4% (4 cases): 2 for acute cholecystitis, 1 for hemorrhagic incidents, 1 for technical problems (the absence of the reserve pieces in the set). The difficulties were passed through were in obesity, perivesicular adherences, anatomic arterial varieties and extrahepatic biliary ducts and the morphology of the calculi.

CONCLUSIONS: the laparoscopic interventions have given us major satisfactions, the method being preferred to the classical one.