Abstract
We present a joint study conducted by the Committee for Endoscopic Surgery in Spain. Sixty-nine surgeons reported 2,342 laparoscopic cholecystectomies (LCs) performed until November 1992. The conversion rate was 5.1%. The overall morbidity was 7.1%. The biliary morbidity was 0.45%: Seven severe bile duct injuries were recognized at laparoscopy (0.28%) and four lesions were postoperatively diagnosed (0.16%). Bile leak unrelated to bile duct lesion occurred in 14 patients (0.7%), leading to five reoperations. The mortality was 0.12% and was unrelated to the laparoscopic approach in two cases. The risk factors for biliary complications were obesity, previous history of jaundice, and previous hospital admissions.
Surgeon experience was defined by 50 LCs performed, and the overall complication rate presented a statistically significant relation to surgeon experience (P<0.001).
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Participating institutions: Hospital de Albacete (Albacete). Centro Médico de Asturias, Hospital Cabueñez, Hospital General de Asturias (Asturias). Centro Hospitalario Manresa, Clínica Corachan, Clínica Adria, Clínica la Cunila, Clínica Teknon, Hospital Clinic, Hospital de la Cruz Roja de Hospitalet, Hospital Sagrado Corazon, Hospital San Pau, Hospital Valle de Ebron, Instituto Dexeus (Barcelona). Hospital Naval San Carlos, Hospital San Rafael, Hospital Santa María del Puerto (Cadiz). Hospital Cruz Roja, (Ceuta). Clínica la Inmaculada (Granada). Hospital General de Galicia, Hospital Juan Canalejo (La Coruña). Hospital Nuestra Señora del Pino (Las Palmas). Hospital de Leon, Hospital Nuestra Señora de la Regla (Leon). Hospital Xeral Calde (Lugo). Hospital Clinico (Malaga). Clínica Ruber, Hospital de Getafe, Hospital de Mostoles, Hospital Severo Ochoa, Hospital Universitario San Carlos, Residencia Sanitaria La Paz (Madrid). Hospital General de Murcia, Hospital Los Arcos (Murcia). Clínica Nuestra Señora del Cristal (Orense). Policlínica Miramar (Palma de Mallorca). Policlínica Guipuzcoa (País Vasco). Hospital de Salamanca (Salamanca). Hospital Universitario de Canarias (Tenerife). Hospital General Universitario, Hospital Dr Peset (Valencia). Hospital de Galdacao (Vizcaya). Clínica Quiron Montpellier, Hospital Miguel Servet (Zaragoza)
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Vincent-Hamelin, E., Pallares, A.C., Felipe, J.A.R. et al. National survey on laparoscopic cholecystectomy in Spain. Surg Endosc 8, 770–776 (1994). https://doi.org/10.1007/BF00593438
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DOI: https://doi.org/10.1007/BF00593438