[Laparoscopic surgery--the revolution in gallstone treatment]

The treatment of gallbladder disease is revolutionized by laparoscopic cholecystectomy (LCHE). Less pain postoperatively, earlier mobilization and a fascinating cosmetic result as well as a definitive cure of the disease have led to a fast acceptance by patients and doctors. From March 1990 to March 1991 we have performed 250 LCHE. Only 5 times we had to switch to the conventional procedure. 5 complications (1 lesion of the common bile duct, 2 biliary effusion, 1 abscess formation, 1 bleeding) were treated by laparotomy without further morbidity or lethality. Our rate of gallbladders operated by laparoscopy has increased from 35% in 1990 to 75% in 1991.