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Laparoscopic cholecystectomy: the Japanese experience
1First Department of Surgery, Hamamatsu University School of Medicine, Japan.
Surgical Laparoscopy & Endoscopy
|June 1, 1993
Summary
Laparoscopic cholecystectomy in Japan is highly successful, with a low conversion rate and minimal serious complications. This study confirms the safety and effectiveness of the procedure in Japanese institutions.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy has become the standard for gallbladder removal worldwide.
- Assessing its adoption and outcomes in diverse healthcare systems is crucial.
Purpose of the Study:
- To evaluate the current status and outcomes of laparoscopic cholecystectomy in Japan.
- To compare Japanese practices with international standards.
Main Methods:
- A retrospective survey was conducted across eight Japanese institutions.
- Data from 1989 patients undergoing laparoscopic cholecystectomy were analyzed.
Main Results:
- Conversion to open surgery occurred in 2.7% of cases due to inflammation, adhesions, or complications.
- Postoperative complications were observed in 1.75% of completed procedures.
- Serious complications, including bile duct injury (0.55%), were infrequent.
Conclusions:
- Laparoscopic cholecystectomy adoption in Japan has been highly successful.
- The procedure demonstrates a favorable safety profile and low complication rates in the Japanese population.