Abstract
This paper reports the experience of three general surgeons performing 304 laparoscopic cholecystectomies in three private hospitals between October 1989 and November 1990. Laparoscopic cholecystectomy boasts two major advantages over the conventional procedure: the remarkable reduction in postoperative pain and economic benefit, largely due to the patient's early return to work. Revealing a complication rate of 2% and no deaths, this study has shown that this procedure can offer patients these advantages with a medical risk no greater than that accompanying conventional cholecystectomy. Patient safety must be paramount, and it is the responsibility of the surgical community to ensure that all surgeons receive the highest quality training and that the technique is applied appropriately.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cuschieri A., Berci G., McSherry C. K. Laparoscopic cholecystectomy. Am J Surg. 1990 Mar;159(3):273–273. doi: 10.1016/s0002-9610(05)81214-0. [DOI] [PubMed] [Google Scholar]
- Daniell J. F., Brown D. H. Carbon dioxide laser laparoscopy: initial experience in experimental animals and humans. Obstet Gynecol. 1982 Jun;59(6):761–764. [PubMed] [Google Scholar]
- Dubois F., Icard P., Berthelot G., Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg. 1990 Jan;211(1):60–62. doi: 10.1097/00000658-199001000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kitahama A., Kerstein M. D., Overby J. L., Kappelman M. D., Webb W. R. Routine intraoperative cholangiogram. Surg Gynecol Obstet. 1986 Apr;162(4):317–322. [PubMed] [Google Scholar]
- Mansberger J. A., Davis J. B., Scarborough C., Bowden T. A. Selective intraoperative cholangiography. A case for its use on an anatomic basis. Am Surg. 1988 Jan;54(1):31–33. [PubMed] [Google Scholar]
- Reddick E. J., Olsen D. O. Laparoscopic laser cholecystectomy. A comparison with mini-lap cholecystectomy. Surg Endosc. 1989;3(3):131–133. doi: 10.1007/BF00591357. [DOI] [PubMed] [Google Scholar]
- Tompkins R. K. Laparoscopic cholecystectomy. Threat or opportunity? Arch Surg. 1990 Oct;125(10):1245–1245. doi: 10.1001/archsurg.1990.01410220029002. [DOI] [PubMed] [Google Scholar]
- Way L. W. Changing therapy for gallstone disease. N Engl J Med. 1990 Nov 1;323(18):1273–1274. doi: 10.1056/NEJM199011013231810. [DOI] [PubMed] [Google Scholar]