Abstract
Laparoscopic cholecystectomy has been attempted in 155 patients. Eight patients required conversion to open cholecystectomy (5%): three owing to lack of clear anatomical detail, two procedures were abandoned because of instrument failure, two had a dilated common bile duct on cholangiography, and one owing to a very adherent mucocele of the gallbladder. Cholangiography was performed selectively; successfully completed in 45 (22% of all patients). Common bile duct stones were found in two patients. All patients were drained, with two bile leaks, one requiring a laparotomy. There was one ductal injury. Most patients (85%) were discharged within 48 h. This initial experience suggests laparoscopic cholecystectomy is the procedure of choice for most patients with symptomatic cholelithiasis.
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- Bainton D., Davies G. T., Evans K. T., Gravelle I. H. Gallbladder disease. Prevalence in a South Wales industrial town. N Engl J Med. 1976 May 20;294(21):1147–1149. doi: 10.1056/NEJM197605202942103. [DOI] [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]
- Heaton K. W., Braddon F. E., Mountford R. A., Hughes A. O., Emmett P. M. Symptomatic and silent gall stones in the community. Gut. 1991 Mar;32(3):316–320. doi: 10.1136/gut.32.3.316. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nathanson L. K., Shimi S., Cuschieri A. Laparoscopic cholecystectomy: the Dundee technique. Br J Surg. 1991 Feb;78(2):155–159. doi: 10.1002/bjs.1800780208. [DOI] [PubMed] [Google Scholar]
- Reddick E. J., Olsen D., Spaw A., Baird D., Asbun H., O'Reilly M., Fisher K., Saye W. Safe performance of difficult laparoscopic cholecystectomies. Am J Surg. 1991 Mar;161(3):377–381. doi: 10.1016/0002-9610(91)90601-9. [DOI] [PubMed] [Google Scholar]
- Voyles C. R., Meena A. L., Petro A. B., Haick A. J., Koury A. M. Electrocautery is superior to laser for laparoscopic cholecystectomy. Am J Surg. 1990 Nov;160(5):457–457. doi: 10.1016/s0002-9610(05)81001-3. [DOI] [PubMed] [Google Scholar]
- Wastell C. Laparoscopic cholecystectomy. BMJ. 1991 Feb 9;302(6772):303–304. doi: 10.1136/bmj.302.6772.303. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zucker K. A., Bailey R. W., Gadacz T. R., Imbembo A. L. Laparoscopic guided cholecystectomy. Am J Surg. 1991 Jan;161(1):36–44. doi: 10.1016/0002-9610(91)90358-k. [DOI] [PubMed] [Google Scholar]