Abstract
Data concerning 6,865 laparocholecystectomies have been collected retrospectively from 19 Italian groups. Only 5% of all patients were chosen for open cholecystectomy (OC). Acute cholecystitis was present in 5.6% of laparocholecystectomies (LC). Conversion to laparotomy occurred in 3.1% of patients. Mortality was 0.06%, morbidity 2.53% (general anesthesia complications 0.07%; general complications 0.07%; omphalitis 0.7%; abdominal complications 1.69%). Main duct lesions occurred in 0.26% of the patients, biliary leaks in 0.48%, bleedings in 0.75%, perforations in 0.2%. Data from literature concerning OC are compared to ours: mortality and morbidity have been lowered by LC; general and abdominal-wall complications have been drastically reduced; main duct lesions are not different.
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References
Bismuth H, Johann M (1991) Le risque operatoire de la cholecystectomie. In Erlinger S (ed) La lithiase biliaire. Doin Editeurs, Paris
Bismuth H, Lazorthes F (1981) Traumatisme operatoire de la voie biliaire principale. Monographies de l'Association Francaise de Chirurgie. Masson, Paris
Chigot JP (1981) Le risque operatoire dans la lithiase biliaire. A propos de 5433 interventions. Semin Hop. Paris 57: 1311
Cuschieri A, Dubois F, Mouiel J, Mouret P, Becker H, Beuss G, Trede M, Troidl H (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161: 385
Delaitre B (1991) Les complications de la chirurgie digestive par coelioscopie. In Testas P, Delaitre B (eds) Chirurgie Digestive par voie coelioscopique. Editions Maloine, Paris, pp 187–197
Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko S-T, Airan MC (1993) Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165: 9
Dowdy GS Jr, Waldron GW (1964) Importance of coexistent factors in biliary tract surgery. Arch Surg 88: 314
Glenn F, McSherry CK, Dineen P (1968) Morbidity of surgical treatment for nonmalignant biliary tract disease. Surg Gynecol Obstet 126: 15
Gutgemann A, Schriefers KH, Phillips R, Wulfing D (1965) Zur rekunstructiven chirurgie des verletzen und strikturierten grossen Gallenganges. Betrage Klinisch Chir 210: 129
Kune GA, Sali A (1981) Benign biliary strictures. In Kune GA, Sali A (eds) The practice of biliary surgery. Blackwell Scientific, Oxford
McSherry CK, Glenn F (1980) The incidence and causes of death following surgery for non malignant biliary tract disease. Ann Surg 191: 271
Rosenquist H, Myrin SO (1960) Operative injury to the bile ducts. Acta Chir Scand 119: 92
Scher KS, Scott-Conner CE (1987) Complications of biliary surgery. Am Surg 53: 16
The Southern Surgical Club (1991) A prospective analysis of 1518 laparoscopic cholecystectomies. New Engl J Med 324: 1073
Tucker LE, Anwar A, Hardin W, Tangedahl TN (1983) Risk factors of cholecystectomy: analysis of 935 patients. South Med J 76: 1113
Viikari SJ (1960) Operative injuries to the bile ducts. Acta Chir Scand 119: 83
Weckesser EC (1961) Surgery of gallbladder disease in Ohio. A survey of 3085 operations. Am J Surg 102: 695
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Croce, E., Azzola, M., Golia, M. et al. Laparocholecystectomy. Surg Endosc 8, 1088–1091 (1994). https://doi.org/10.1007/BF00705726
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DOI: https://doi.org/10.1007/BF00705726