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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1992 Jul;74(4):237–241.

Laparoscopic laser cholecystectomy: results of the technique in 210 patients.

A D Scott 1, A C Greville 1, L McMillan 1, J M Wellwood 1
PMCID: PMC2497631  PMID: 1416672

Abstract

The results of laparoscopic laser cholecystectomy (LLC) in a consecutive series of 210 patients, operated on between May 1990 and August 1991, were assessed to analyse the advantages of the technique and to detail the causes of any technical problems, failures, or complications. The operations were performed by JMcKW and ADNS. A success rate of 98% (206/210) was achieved with a minor complication rate of 13% (26/210) and major complication rate of 3% (7/206), including three patients (3/206; 1.5%) who had a reactionary haemorrhage postoperatively, two requiring laparotomy. The length of hospital stay was 48 h or less in over 80% (148/184) of the patients. The period of absence from work was 2 weeks or less in over 90% (118/130) of the patients. Cholecystectomy can safely be performed laparoscopically and this procedure has significant advantages over open cholecystectomy.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Airan M. C. Laparoscopic cholecystectomy. Am J Surg. 1990 Jun;159(6):619–619. doi: 10.1016/s0002-9610(06)80082-6. [DOI] [PubMed] [Google Scholar]
  2. Akiyama H., Okazaki T., Takashima I., Satoh S., Ryan T., Iwamori S., Hidaka T., Morio K., Okuhara T. Percutaneous treatments for biliary diseases. Radiology. 1990 Jul;176(1):25–30. doi: 10.1148/radiology.176.1.2191366. [DOI] [PubMed] [Google Scholar]
  3. Allen M. J., Borody T. J., Bugliosi T. F., May G. R., LaRusso N. F., Thistle J. L. Cholelitholysis using methyl tertiary butyl ether. Gastroenterology. 1985 Jan;88(1 Pt 1):122–125. doi: 10.1016/s0016-5085(85)80143-8. [DOI] [PubMed] [Google Scholar]
  4. Cassie G. F., Kapadia C. R. Operative cholangiography or extraductal palpation: an analysis of 418 cholecystectomies. Br J Surg. 1981 Jul;68(7):516–517. doi: 10.1002/bjs.1800680724. [DOI] [PubMed] [Google Scholar]
  5. Coleman J., Paul A., Spangenberger W., Klein J., Troidl H. Operative cholangiography in elective cholecystectomy. Br J Surg. 1990 Sep;77(9):1074–1074. doi: 10.1002/bjs.1800770942. [DOI] [PubMed] [Google Scholar]
  6. Cope C., Burke D. R., Meranze S. G. Percutaneous extraction of gallstones in 20 patients. Radiology. 1990 Jul;176(1):19–24. doi: 10.1148/radiology.176.1.2353089. [DOI] [PubMed] [Google Scholar]
  7. 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]
  8. 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]
  9. Gerber A., Apt M. K. The case against routine operative cholangiography. Am J Surg. 1982 Jun;143(6):734–736. doi: 10.1016/0002-9610(82)90048-4. [DOI] [PubMed] [Google Scholar]
  10. Gilliland T. M., Traverso L. W. Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis with emphasis on long-term relief of symptoms. Surg Gynecol Obstet. 1990 Jan;170(1):39–44. [PubMed] [Google Scholar]
  11. Hauer-Jensen M., Kåresen R., Nygaard K., Solheim K., Amlie E., Havig O., Viddal K. O. Consequences of routine peroperative cholangiography during cholecystectomy for gallstone disease: a prospective, randomized study. World J Surg. 1986 Dec;10(6):996–1002. doi: 10.1007/BF01658656. [DOI] [PubMed] [Google Scholar]
  12. Jolly P. C., Baker J. W., Schmidt H. M., Walker J. H., Holm J. C. Operative cholangiography: a case for its routine use. Ann Surg. 1968 Sep;168(3):551–565. doi: 10.1097/00000658-196809000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Kellett M. J., Wickham J. E., Russell R. C. Percutaneous cholecystolithotomy. Br Med J (Clin Res Ed) 1988 Feb 13;296(6620):453–455. doi: 10.1136/bmj.296.6620.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Kelley C. J., Blumgart L. H. Per-operative cholangiography and post-cholecystectomy biliary strictures. Ann R Coll Surg Engl. 1985 Mar;67(2):93–95. [PMC free article] [PubMed] [Google Scholar]
  15. McSherry C. K. Cholecystectomy: the gold standard. Am J Surg. 1989 Sep;158(3):174–178. doi: 10.1016/0002-9610(89)90246-8. [DOI] [PubMed] [Google Scholar]
  16. Pagana T. J., Stahlgren L. H. Indications and accuracy of operative cholangiography. Arch Surg. 1980 Oct;115(10):1214–1215. doi: 10.1001/archsurg.1980.01380100060014. [DOI] [PubMed] [Google Scholar]
  17. Perissat J., Collet D. R., Belliard R. Gallstones: laparoscopic treatment, intracorporeal lithotripsy followed by cholecystostomy or cholecystectomy--a personal technique. Endoscopy. 1989 Dec;21 (Suppl 1):373–374. doi: 10.1055/s-2007-1012994. [DOI] [PubMed] [Google Scholar]
  18. Pernthaler H., Sandbichler P., Schmid T., Margreiter R. Operative cholangiography in elective cholecystectomy. Br J Surg. 1990 Apr;77(4):399–400. doi: 10.1002/bjs.1800770414. [DOI] [PubMed] [Google Scholar]
  19. Sackmann M., Delius M., Sauerbruch T., Holl J., Weber W., Ippisch E., Hagelauer U., Wess O., Hepp W., Brendel W. Shock-wave lithotripsy of gallbladder stones. The first 175 patients. N Engl J Med. 1988 Feb 18;318(7):393–397. doi: 10.1056/NEJM198802183180701. [DOI] [PubMed] [Google Scholar]
  20. Schoenfield L. J., Lachin J. M. Chenodiol (chenodeoxycholic acid) for dissolution of gallstones: the National Cooperative Gallstone Study. A controlled trial of efficacy and safety. Ann Intern Med. 1981 Sep;95(3):257–282. doi: 10.7326/0003-4819-95-3-257. [DOI] [PubMed] [Google Scholar]
  21. Schulenburg C. A. Operative cholangiography: 1,000 cases. Surgery. 1969 May;65(5):723–739. [PubMed] [Google Scholar]
  22. Seif R. M. Routine operative cholangiography: a critical appraisal. Am J Surg. 1977 Nov;134(5):566–568. doi: 10.1016/0002-9610(77)90435-4. [DOI] [PubMed] [Google Scholar]
  23. Stark M. E., Loughry C. W. Routine operative cholangiography with cholecystectomy. Surg Gynecol Obstet. 1980 Nov;151(5):657–658. [PubMed] [Google Scholar]

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