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Laparoscopic cholecystectomy: a report on 2000 cases.
O Fathy1, M Abu Zeid, T Abdallah
1Gastroenterology Surgery Centre, Mansoura University, Gehan Street, Mansoura, Egypt.
Hepato-Gastroenterology
|July 9, 2003
Summary
Laparoscopic cholecystectomy is a safe and effective treatment for symptomatic gallstones, offering an acceptable morbidity rate. Timely conversion to open surgery can prevent serious complications.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Outcomes
Background:
- Retrospective analysis of 2000 laparoscopic cholecystectomy cases.
- Study conducted at a single surgical center.
Purpose of the Study:
- Evaluate the outcomes of laparoscopic cholecystectomy.
- Assess the safety and efficacy of the procedure.
Main Methods:
- 2000 patients with symptomatic gallstones underwent laparoscopic cholecystectomy.
- Diagnosis confirmed by abdominal ultrasonography.
- Four-trocar technique utilized in most cases.
Main Results:
- Mean operative time was 45 minutes.
- Conversion to open cholecystectomy occurred in 7.35% of cases, primarily due to adhesions.
- Bile duct injury rate was 0.35%, managed with reconstruction or stenting.
- Other complications included bile leakage (0.55%) and hemorrhage (0.45%).
Conclusions:
- Laparoscopic cholecystectomy is a viable alternative to open surgery.
- The procedure demonstrates acceptable morbidity.
- Judicious conversion to open cholecystectomy is crucial for preventing major complications.