Laparoscopic cholecystectomy: analysis of 100 cases

Area of Science:

• Minimally Invasive Surgery
• Gastrointestinal Surgery
• Surgical Outcomes

Background:

• Symptomatic cholelithiasis (gallstones) often necessitates surgical intervention.
• Laparoscopic cholecystectomy has become a standard treatment for gall bladder disease.
• Assessing the safety and efficacy of laparoscopic cholecystectomy is crucial for patient care.

Purpose of the Study:

• To evaluate the safety and efficacy of laparoscopic cholecystectomy.
• To determine the success rate and complication profile of the procedure.

Main Methods:

• One hundred patients with symptomatic cholelithiasis underwent laparoscopic cholecystectomy.
• Preoperative ERCP and sphincterotomy were utilized for suspected common bile duct stones.
• Clinical, biochemical, and imaging methods guided the diagnosis of CBD stones.

Main Results:

• Ninety patients had successful laparoscopic cholecystectomy with a mean operating time of 90 minutes.
• Morbidity was minimal at 6%, with no reported deaths.
• Eighty-five patients were discharged within 48 hours; 10 cases required conversion to open surgery due to factors like CBD stones or difficult gall bladders.

Conclusions:

• Laparoscopic cholecystectomy is a safe and effective surgical option for gall bladder removal.
• Factors such as previous abdominal surgery and common bile duct stones may predict conversion to open surgery.
• The procedure offers rapid recovery, with most patients discharged within two days.