[Experience of 1000 laparoscopic cholecystectomies in district hospital]

The experience of effective work of endoscopic service in district hospital, including surgeon and gynecologist in laparoscopic team is presented. The results of 1000 laparoscopic cholecystectomies were analyzed. In 868 cases the operation was performed for chronic and in 132 cases--for acute calculous cholecystitis. The additional endoscopic retrograde pancreatocholangiography and papillosphincterotomy (if it was necessary) was performed in patients with cholangitis and obstructive jaundice and also with choledocholithiasis, revealed during elective examination. In 33 cases in thick infiltrate of gall bladder neck or neck congenital anomalies, laparotomy was performed, 30 patients underwent minilaparotomy. Simultaneous operations were performed in 116 (11.6%) patients. In early postoperative period, the complications were seen in 8 patients. In 2 cases the injury of common hepatic duct was observed. Suppuration of paraumbilical wound was seen in 13 patients, postoperative paraumbilical hernia (4-6 months after operation)--in 18 patients. There were no cases of lethal outcomes.