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Laparoscopic cholecystectomy in 2,750 cases in a teaching hospital in Kuwait
Wael Fathi Hasaniah1, Ibrahim Ghada, Al-Hadeedi Sabah
1Department of Surgery, Al-Amiri Hospital, Kuwait. waelfh@yahoo.com
Objective:
To retrospectively analyse all laparoscopic cholecystectomies performed between April 1992 and May 1999.
Methods:
Medical records of 2,750 patients, clinically diagnosed with gall bladder disease, were reviewed. We analysed the operative time, length of postoperative hospital stay, conversion rate, intra- and postoperative complications as well as management outcome.
Results:
The mean operative time was 59.2 min, and the mean postoperative hospital stay was 1.46 days. However, the majority of our patients (66.8%) were discharged after 1 day. The conversion rate was 3.8%, which was mainly due to acute gall bladder pathology. The postoperative complication rate was 4.6%; all cases were managed successfully with no mortality or delayed morbidity.
Conclusion:
Our findings indicate that laparoscopic cholecystectomy appears to be a safe and effective procedure with low morbidity and no mortality. Therefore, it should be considered as the procedure of choice for patients with gall bladder disease.