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Updated: Jul 21, 2026
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
[Early laparoscopic cholecystectomy in the treatment of acute cholecystitis]
M Catani1, R De Milito, E Spaziani
1Dipartimento di Chirurgia Generale Paride Stefanini, Policlinico Umberto I, Università degli Studi di Roma La Sapienza, Roma, Italy.
Background:
The aim of the study was to demonstrate the importance of early laparoscopic cholecystectomy for acute cholecystitis.
Methods:
From 1998 to 2000, 66 patients were submitted to laparoscopic cholecystectomy. All patients were submitted to US scans preoperatively and operated on by surgeon skilled in emergency laparoscopic operative technique.
Results:
Only one patient (1.5%) had conversion to open cholecystectomy. There was no mortality and no bile duct or major vascular injuries. The overall operative morbidity rate was 3%. The mean postoperative hospital stay was 3.1 days.
Conclusions:
Author's experience and results support the validity of early laparoscopic cholecystectomy in the treatment of acute cholecystitis, since it reduces the postoperative length of hospital stay and hospital costs. Early treatment is always helpful for inflamed and oedematous tissue which favours dissection.
