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[Complications after laparoscopic cholecystectomy]
Klinichna Khirurhiia
|September 14, 1999
Summary
Laparoscopic cholecystectomy (LCH) is a safe and effective procedure for gallstone disease. This study analyzed 1780 patients, showing low complication rates and successful outcomes for both acute and chronic cholecystitis.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Context:
- Analysis of 1780 laparoscopic cholecystectomies (LCH) performed between 1992 and 1997.
- Inclusion of patients with both chronic (63%) and acute (37%) cholecystitis.
- Prevalence of pre-operative choledocholithiasis noted in 9.1% of cases.
Purpose:
- To evaluate the efficacy and safety of laparoscopic cholecystectomy (LCH) in a large patient cohort.
- To assess complication rates and outcomes associated with LCH for various gallbladder conditions.
- To report on the incidence of conversion to open laparotomy and its contributing factors.
Summary:
- Laparoscopic cholecystectomy (LCH) was performed on 1780 patients, with 1123 for chronic and 657 for acute cholecystitis.
- Conversion to open laparotomy occurred in 2.6% of cases. Average operative time was 50 ± 12 minutes.
- Early and late complication rates were 8.8% and 1.4%, respectively, with no mortality.
Impact:
- Demonstrates the feasibility and safety of laparoscopic cholecystectomy (LCH) in managing a significant number of patients with cholecystitis.
- Provides valuable data on complication rates and outcomes, informing surgical practice and patient selection.
- Highlights the low morbidity and mortality associated with LCH, reinforcing its role as a standard surgical procedure.