Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Safe laparoscopic cholecystectomy in a community setting, N = 762

M Martin1, M Abrams, R Arkin

  • 1Department of Surgery, Moses H. Cone Memorial Hospital, Greensboro, NC 27401.

Surgical Endoscopy
|July 1, 1993
PubMed
Summary

Introducing laparoscopic cholecystectomy (LC) into a community is safe. Novice surgeons achieved morbidity and mortality rates comparable to open surgery in 762 LC cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The impact of economic recessions on depression and individual and social well-being: the case of Spain (2006-2013).

Social psychiatry and psychiatric epidemiology·2018
Same author

Erratum to: Comprehensive trauma training curriculum for psychiatry residents.

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·2016
Same author

Characterization of nitrotyrosine as a biomarker for arthritis and joint injury.

Osteoarthritis and cartilage·2012
Same author

S-antigen immunoreactivity in tumors of the choroid plexus.

Ocular immunology and inflammation·2012
Same author

Antitumor-activity of orally-administered ammine amine platinum (iv) dicarboxylate complexes against a panel of human ovarian-carcinoma xenografts.

International journal of oncology·2011
Same author

Brain functional changes (QEEG cordance) and worsening suicidal ideation and mood symptoms during antidepressant treatment.

Acta psychiatrica Scandinavica·2010

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Community Health

Background:

  • Laparoscopic cholecystectomy (LC) represents a significant surgical innovation.
  • The adoption of new surgical techniques in community settings requires careful evaluation.
  • Previous studies focused on experienced surgeons, leaving community-based adoption by novice surgeons less understood.

Purpose of the Study:

  • To evaluate the safety and efficacy of introducing laparoscopic cholecystectomy (LC) into a community setting.
  • To assess the morbidity and mortality rates of LC performed by surgeons new to the technique.
  • To compare LC outcomes with established open cholecystectomy rates.

Main Methods:

  • Retrospective review of all 762 laparoscopic cholecystectomies (LCs) performed in Greensboro, NC, over a 12-month period (starting 8/13/90).

Related Experiment Videos

  • All participating surgeons learned the technique on animal models before community introduction.
  • Surgeries were performed by surgeons acting as both operator and assistant, without excluding high-risk or elderly patients.

    • Main Results:

    • Morbidity and mortality rates were comparable to open cholecystectomy.
    • Conversion to open surgery occurred in 4.8% of cases.
    • Two cardiac deaths (0.26%) and significant complications in 3.4% of patients were recorded; no major common bile duct injuries occurred.

    Conclusions:

    • Laparoscopic cholecystectomy (LC) can be safely introduced into a community by novice surgeons.
    • The learning curve for LC in a community setting can yield outcomes similar to open cholecystectomy.
    • This study supports the successful integration of LC into general surgical practice without compromising patient safety.