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Laparoscopic cholecystectomy: experience at a tertiary level hospital
Muhammad Tanveer Sajid1, Syed Mukarram Hussain, Riaz Anwar Bashir
1Department of General Surgery, Combined Military Hospital Rawalpindi, Pakistan. doc_tanveersajid@yahoo.com
Journal of Ayub Medical College, Abbottabad : JAMC
|January 22, 2015
Summary
Laparoscopic cholecystectomy (LC) is a safe and effective treatment for gallstones, offering shorter hospital stays and low complication rates. This study confirms LC
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is the gold standard for symptomatic gallstones.
- LC has been the preferred method in the USA since 1992.
Purpose of the Study:
- To evaluate the outcomes of laparoscopic cholecystectomy (LC) at a specific surgical center.
- To identify factors influencing conversion rates in LC.
Main Methods:
- Observational case series of 504 patients undergoing LC.
- Data collected included demographics, operative time, hospital stay, conversion rates, morbidity, and mortality.
- Factors affecting conversion were analyzed.
Main Results:
- Mean operative time was 40.1 minutes, increasing to 75.12 minutes in converted cases.
- Hospital stay averaged 1.89 days, significantly longer in converted cases.
- Conversion rate was 3.97%, with major complications in 3.17% and mortality at 0.39%.
Conclusions:
- Laparoscopic cholecystectomy (LC) provides a short operative time and hospital stay.
- LC is a safe and effective procedure with low morbidity and mortality.
- Factors like age, acute cholecystitis, comorbidities, and surgeon experience influence conversion rates.