Laparoscopic Cholecystectomy: From Gimmick to Gold Standard

Begos, Dennis G.; Modlin, Irvin M.

doi:10.1097/00004836-199412000-00015

Cited by 107 publications

(59 citation statements)

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“…Since the early reports on the procedure from France and America, 1,2 LC has been found to be superior to OC, with less mortality and morbidity, 3 and has become the treatment of choice for CC. 4,5 AC was initially considered a contraindication for LC, especially in severe attacks or if the gallbladder wall thickness was more than 4 mm. 6,7 It is well recognized, however, that in AC, there is an increased rate of conversion to OC when compared to CC.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Cholecystectomy for Gallstones: A Comparison of Outcome between Acute and Chronic Cholecystitis

Gharaibeh

Ammari

Al-Heiss

et al. 2001

Annals of Saudi Medicine

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Section: Discussionmentioning

confidence: 99%

“…15,22,25,30,31 In our series, it was 0.76% in CC vs. 11.8% in AC (P<0.00). Conversion should not be looked at as a complication 5 but as a safety net. 30 Operation time in AC was longer than in CC (74.5±35.7 minutes vs. 53.5±16 minutes, respectively), and the difference was highly significant (P<0.000).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy for Gallstones: A Comparison of Outcome between Acute and Chronic Cholecystitis

Gharaibeh

Ammari

Al-Heiss

et al. 2001

Annals of Saudi Medicine

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“…In the mid-1980s, with the emergence of minimally invasive surgical methods, laparoscopic cholecystectomy (LC) opened up a new era in abdominal surgery (1). Most gallstones are asymptomatic (2,3), being incidentally detected on routine abdominal ultrasound (4).…”

Section: Introductionmentioning

confidence: 99%

Removing gallbladder from intra abdominal area by a different technique

Gözeneli¹,

Tatlı²,

Yucel³

et al. 2017

J Turgut Ozal Med Cent

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Aim: Laparoscopic cholecystectomy is a widely performed technique worldwide. The use of laparoscopic threaded holders for this is routine but takes a lot of time and may tear the gallbladder. There are no wide-mouthed and short endoscopic instruments that can be used for removing the gallbladder without perforation. We look at gallbladder removal methods that are quick and do not involve damage at the end of laparoscopic cholecystectomy. Material and Methods: This prospective study was conducted on 30 laparoscopic cholecystectomy patients divided into two equal groups, one employing conventional laparoscopic cholecystectomy (CLC) and the other using a sponge holding forceps (SHF) (n=15, both groups) to demonstrate the effectiveness of our management. In the CLC group, the number of male patients was two (13.3 %) and female patients 13 (86.7%); in the SHF group, number of male patients was six (40%) and female patients nine (60%). When we compared the results statistically for bladder removal time, total operation time, gallbladder perforation, and wound infection, the p values were found to be 0.016, 0.182, 0.169, and 1, respectively. Results: Thirty patients were analyzed. The SHF group showed significantly better results than the CLC group for gallbladder removal time and better although not significantly better results for perforation of bladder, while there was no difference between the groups for wound infection. Conclusion: Removing the gallbladder with an SHF significantly shortens the duration of removal and also reduces perforations as compared to CLC.

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“…Laparoscopic cholecystectomy is criterion standard for the treatment of benign gall bladder diseases, and it is the most common laparoscopic surgery worldwide. 1,2 Open cholecystectomy was first described by Langenbuch in 1882 and was primary treatment of gallstone disease for most of the past century. With the introduction of laparoscopic cholecystectomy, the benefits of minimally invasive procedure were known.…”

Section: Introductionmentioning

confidence: 99%

Comparison of single incision laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy using conventional laparoscopic instrument: a prospective observational study

et al. 2017

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Background: Laparoscopic surgery is one of the most significant surgical advances of twentieth century. Laparoscopic cholecystectomy is criterion standard for the treatment of benign gall bladder diseases, and it is the most common laparoscopic surgery worldwide. The aim of the study was to compare the intra-operative and post-operative complication, conversion rate and outcome of single incision laparoscopic cholecystectomy and conventional laparoscopic cholecystectomy on short term follow up.Methods: This prospective analytical observational design study was carried out in Tertiary Health care centre. As per convenience sampling 60 consecutive patients of cholelithiasis. Data obtained was analyzed and inferences were drawn regarding the outcomes of the SILC in terms of cosmesis, post-operative pain and any other complications and compare the outcomes against the conventional four port laparoscopic cholecystectomy.Results: In our study we found the mean operating time for SILC was 90.5±16.37 minutes, whereas the mean operating time for CLC was 74±17.83 (p = 0.0004). Intra-operative blood loss for SILC and CLC was comparable and statistically insignificant. Pain in the SILC group was found to be significantly low than CLC group (p ≤0.0001). The median cosmetic scale score for SILC group was 20 with range 13-21 and in conventional laparoscopic cholecystectomy group it was 16 with range 12-18 (p <0.0001).Conclusions: The major advantage of SILC is cosmetic satisfaction, while the disadvantages of SILS are longer operative time. There was no statistically significant difference in the intra-operative blood loss and conversion rate, and complications in both the techniques. Single incision laparoscopic cholecystectomy (SILC) was developed with the aim of reducing the invasiveness of traditional laparoscopy.

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Laparoscopic Cholecystectomy: From Gimmick to Gold Standard

Cited by 107 publications

References 0 publications

Laparoscopic Cholecystectomy for Gallstones: A Comparison of Outcome between Acute and Chronic Cholecystitis

Laparoscopic Cholecystectomy for Gallstones: A Comparison of Outcome between Acute and Chronic Cholecystitis

Removing gallbladder from intra abdominal area by a different technique

Comparison of single incision laparoscopic cholecystectomy with conventional laparoscopic cholecystectomy using conventional laparoscopic instrument: a prospective observational study

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