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Short and long term outcome after laparoscopic cholecystectomy
M Victorzon1, M Lundin, C Haglund
1Fourth Department of Surgery, Helsinki University Central Hospital, Finland.
Annales Chirurgiae Et Gynaecologiae
|February 8, 2000
Summary
Laparoscopic cholecystectomy effectively relieved common gallstone symptoms like pain and nausea long-term. Most patients reported significant symptom improvement and overall satisfaction after gallbladder removal.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Minimally Invasive Surgery
Background:
- Audit of patients undergoing laparoscopic cholecystectomy.
- Assessment of short-term and long-term effects on patient symptom profiles.
Purpose of the Study:
- Evaluate the long-term efficacy of laparoscopic cholecystectomy.
- Analyze the impact on patient symptom profiles post-surgery.
Main Methods:
- Prospective audit of 300 consecutive elective laparoscopic cholecystectomies.
- Short-term outcomes analyzed via patient files; long-term outcomes via postal questionnaire (median 2 years).
- Calculation of symptomatic benefit ratios (BR).
Main Results:
- Low conversion rate (4.0%) and no deaths; overall morbidity 13%.
- Median hospital stay 2 days, median time-off-work 15 days.
- High symptom relief for biliary pain (0.97), nausea (0.95), vomiting (0.96), jaundice (0.94); 98% overall symptomatic improvement.
Conclusions:
- Laparoscopic cholecystectomy is safe and effective for gallstone-related symptoms.
- Demonstrates significant long-term symptomatic benefit for patients.
- High patient satisfaction with the procedure's outcomes.