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[Is cholecystectomy by celiovideoscopy dangerous in the initial period? Prospective study of 100 initial cases]
J Marescaux1, S Evrard, P Keller
1Service d'Urgence, de Chirurgie Générale et Endocrinienne, Centre Hospitalier Régional et Universitaire, Hôpital Civil, Strasbourg.
Abstract:
The aim of this study was to prospectively study the complication rate of our 100 initial laparoscopic cholecystectomies. The ultimate goal was to obtain a morbidity rate comparable to open cholecystectomy. No major complications were noticed. The conversion rate to open cholecystectomy was 8%, slightly higher in comparison with the literature. Absence of major complications could be explained by: a) indications limited to symptomatic non complicated cholelithiasis; b) assistance at the beginning of our experience of gynecologists used to laparoscopic techniques; c) conversion to open cholecystectomy in case of technical difficulties. Application of these principles allows the digestive surgeon to start laparoscopic cholecystectomy without submitting the patient to additional risks.