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Laparoscopic cholecystectomy: 700 consecutive cases

S Baev1, T Pozarliev, G T Todorov

  • 1Department of Surgery, University Alexander's Hospital, Bulgaria.

International Surgery
|October 1, 1995
PubMed
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Laparoscopic cholecystectomy is a safe and effective procedure for gallstone disease, with a low conversion rate to open surgery. This study found no lethal outcomes in 700 patients undergoing the procedure.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Gallstone disease is a common condition requiring surgical intervention.
  • Laparoscopic cholecystectomy (LC) has become the gold standard for treating symptomatic cholelithiasis.
  • Assessing the safety and efficacy of LC in a large patient cohort is crucial.

Purpose of the Study:

  • To evaluate the outcomes of 700 laparoscopic cholecystectomies performed over a two-year period.
  • To identify complications and conversion rates associated with LC.
  • To assess the safety profile of LC, including mortality and morbidity.

Main Methods:

  • A retrospective analysis of 700 laparoscopic cholecystectomies performed between March 1993 and June 1995.
  • Data collection included patient demographics, diagnosis, operative findings, conversion rates, and postoperative complications.

Related Experiment Videos

  • Intraoperative cholangiography and laparoscopic common bile duct exploration were utilized in select cases.

    • Main Results:

    • A total of 700 patients (590 female, 110 male) underwent LC.
    • The overall conversion rate to open cholecystectomy was 2.28% (16 cases), primarily due to bleeding and common bile duct stones.
    • Four cases required early postoperative laparotomy for complications including biloma, intestinal strangulation, duodenal ulcer, and bleeding. One case required laparotomy for clip displacement.
    • No lethal outcomes were reported following LC.

    Conclusions:

    • Laparoscopic cholecystectomy is a safe procedure with a low complication rate for treating acute and chronic cholecystitis.
    • Careful patient selection and surgeon experience are key to minimizing conversion rates and postoperative complications.
    • The study supports the widespread adoption of LC as an effective treatment for gallstone disease.