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Related Experiment Videos

Open laparoscopy for laparoscopic cholecystectomy.

R J Fitzgibbons1, S Schmid, R Santoscoy

  • 1Creighton University School of Medicine, Departments of Surgery and Gastroenterology, Omaha, Nebraska.

Surgical Laparoscopy & Endoscopy
|December 11, 1991
PubMed
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The open technique for initial abdominal access in laparoscopic cholecystectomy is safe and effective. This method demonstrated a high success rate with minimal complications in 350 patients.

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic cholecystectomy has become a standard procedure for gallbladder removal.
  • Initial peritoneal access is a critical step in laparoscopic surgery.
  • The open technique (Hasson method) is one approach for initial access.

Purpose of the Study:

  • To evaluate the safety and effectiveness of the open technique for initial peritoneal access in laparoscopic cholecystectomy.
  • To report outcomes of the first 350 cases performed at Creighton University.

Main Methods:

  • Retrospective review of 350 consecutive laparoscopic cholecystectomies performed between October 1989 and the study period.
  • Open technique used for initial abdominal entry in 343 patients (98%).
  • Data collected on patient demographics, operative details, success rates, and postoperative complications.

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Main Results:

  • Successful completion of laparoscopic cholecystectomy in 338 patients (96.6%).
  • Operative mortality was zero; bile duct injury was not observed.
  • Postoperative complications occurred in 6% of patients, with only two directly attributed to the open technique.

Conclusions:

  • The open technique is a safe and effective method for initial peritoneal access prior to laparoscopic cholecystectomy.
  • The study supports the continued use of the open technique in select cases.
  • Minimal complications associated with the open technique suggest its reliability.