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Updated: Jul 13, 2026
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
[Treatment of cholecysto- and choledocholithiasis--own experiences]
Jacek Smigielski1, Jerzy Wojtysiaki, Piotr Ziemniak
1Oddział Chirurgii Ogólnej Szpitala MSWiA w Łodzi. jaceksmigielski@tlen.pl
Insights
Gallbladder removal surgery (cholecystectomy) for gallstones has a complication rate of 12.6%. Laparoscopic cholecystectomy is a safe standard procedure with fewer complications than open surgery.
Area of Science:
- Gastroenterologic surgery
- Surgical complications
- Gallbladder disease management
Background:
- Cholelithiasis (gallstones) is a prevalent medical issue, frequently necessitating gallbladder surgery.
- Gallbladder operations are common in gastroenterologic surgery, with potential complications including bleeding, bile leakage, and bile duct injury.
Purpose of the Study:
- To assess complication rates following cholecystectomy for cholelithiasis.
- To observe changes in surgical outcomes over a 10-year period.
Main Methods:
- A retrospective analysis of 6845 cholecystectomies performed between January 1997 and December 2006.
- Included 4215 laparoscopic cholecystectomies and compared outcomes with classic (open) operations.
Main Results:
- Overall complication rate was 12.6%.
- Laparoscopic cholecystectomy showed a lower complication rate (6.1%) compared to classic operations (15.4%).
- Conversion rates decreased from 17.6% to 5.4% over the study period, indicating improved laparoscopic technique.
Conclusions:
- Laparoscopic cholecystectomy is the current standard for symptomatic and asymptomatic cholelithiasis.
- It is a safe procedure with a low complication rate in both acute and chronic cases.
- Careful technique is essential, with conversion to open surgery recommended when necessary.
Unlabelled:
Cholecystolithiasis is a serious problem of contemporary medicine. The most common operations in gastroenterologic surgery are gallbladder operations because of calculosis. The most common complications after gallbladder operations are bleeding from site of the gallbladder and bile leakage, but the most serious complication is a bile ducts injury.
The Aim:
The assessment of complications quantity after cholecystectomy due to cholecystolithiasis. Observation of operation's profile changes during last 10 years.
Material And Methods:
From January 1997 to December 2006 in Department of Surgery in MSWiA Hospital in Lodz and in Departments of Surgery in Leczyca and Piotrkow Trybunalski 6845 cholecystectomy were made including 4215 laparoscopic operations.
Results:
Complications were observed in 12.6% patients. Suppuration of the wound and postoperative hernias occurred more often after classic operations, in the other hand blood and bile leakage from site of the gallbladder were more often observed after laparoscopic operations. The ratio of complications after classic operations to laparoscopic operations was about 15.4% to 6.1%. Conversion was made in 11.5%. During first 5 years conversion was made in 17.6%, in the next 5 years average number of complications drop to 5.4%.
Conclusions:
Nowadays laparoscopic cholecystectomy is a standard procedure in symptomatic and asymptomatic cholecystolithiasis. It's a safe operation, burden with a little amount of complications made during acute as well as chronic course of disease. Laparoscopic technique requires a lot of care and in the event of operator's doubts should be replace with classic operation.
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