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[Personal experience with laparoscopic cholecystectomy]

J Popovic1, I Lukác, M Hut'an

  • 1Chirurgické oddelenie nemocnice Ruzinov, Bratislava.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|December 1, 1994
PubMed
Summary
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The first 100 laparoscopic cholecystectomies, a minimally invasive gallbladder removal surgery, were successfully performed using a modified 3-incision technique. This approach demonstrated a low complication rate and a short hospital stay, indicating its safety and efficacy.

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Outcomes

Context:

  • The Ruzinov Hospital in Bratislava initiated its first 100 cases of laparoscopic cholecystectomy over 29 months.
  • The study involved 79 women and 21 men, with a mean age of 41.5 years.
  • All procedures utilized a modified technique with only three incisions.

Purpose:

  • To evaluate the initial experience and outcomes of performing laparoscopic cholecystectomy.
  • To assess the safety and efficacy of a modified 3-incision technique for gallbladder removal.
  • To analyze complication rates, operating times, and hospital stay associated with these procedures.

Summary:

  • Two cases were converted to open surgery due to gallbladder perforation (1) and bleeding (1).

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  • Average operating time was 99.1 minutes; intraoperative cholangiography was not performed.
  • Reoperations were required in 3 patients (clip slippage: 2, incisional hernia: 1); no deaths occurred.

    • Impact:

    • The modified 3-incision laparoscopic cholecystectomy proved to be a safe and effective procedure in this initial series.
    • The average hospital stay was 5.8 days, highlighting the benefits of minimally invasive surgery.
    • This study provides valuable data on the early adoption and outcomes of laparoscopic cholecystectomy in a specific surgical department.