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[Laparoscopic cholecystectomy in high risk patients]
1Dept. of Surgery, Hadassah-University Hospital, Mount Scopus, Jerusalem.
Harefuah
|April 2, 1995
Summary
Laparoscopic cholecystectomy is safe for high-risk patients. This study found no complications in high-risk individuals undergoing the procedure, demonstrating its feasibility.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Context:
- Laparoscopic cholecystectomy is a common procedure for gallstone disease.
- Patients with high operative risk often face limited surgical options.
Purpose:
- To evaluate the safety and efficacy of laparoscopic cholecystectomy in patients with high operative risk.
Summary:
- 21 high-risk patients underwent laparoscopic cholecystectomy between 1991-1994 for various gallstone-related conditions.
- Patients were medically optimized pre-operatively, with 4 severe cardiac cases monitored invasively.
- No intraoperative or postoperative complications occurred; mean hospital stay was 1.9 days.
Impact:
- Laparoscopic cholecystectomy is a viable option for high-risk patients.
- This approach can lead to shorter hospital stays and quicker recovery.
- Patient outcomes support its use, challenging previous contraindications.