Percutaneous endoscopic treatment of cholelithiasis

Griffith, Donald P.; Rubio, Pedro A.; Gleeson, Malachy J.

doi:10.1007/bf02336592

Cited by 4 publications

(1 citation statement)

References 63 publications

(40 reference statements)

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“…It has been demonstrated that the postoperative pain as well as the duration of hospital stay are significantly reduced after minimal access surgery compared to conventional procedures. Laparoscopic cholecystectomy has resulted in a reduction of hospital days of 58% and a reduction of postoperative anal gesic dose of 57% [6], Although the role of laparoscopic surgery is well established in benign disease, there is ongoing controversy on the application of this technique in oncology. While diagnostic laparoscopy is a generally accepted method for staging of intraabdominal malignancies, there is only limited experience with minimal access surgery.…”

Section: Laparoscopymentioning

confidence: 99%

Diagnostic and Operative Laparoscopy in Oncology

Schlag¹,

Rau²

1994

Oncol Res Treat

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In malignant disease diagnostic laparoscopy is a sensitive technique for diagnosis and staging of intraabdominal tumors. Laparoscopy is particularly valuable for the detection of peritoneal carcinosis and small liver metastases. Increasing interest is also addressed to the use of laparoscopic procedures in surgical oncology. While minimal access surgery is apparently useful for palliative procedures, e.g. gastrostomy, there is much controversy about the feasibility of curative procedures. Presently there is only limited experience with laparoscopic colon resections for colon cancer. This technically complex procedure can result in serious complications. A conversion rate of up to 40% has been reported in the literature. Presently there are no long-term results available confirming the superiority of laparoscopic surgery with respect to survival. Consequently, this technique should be used with caution for the management of carefully selected patients.

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Section: Laparoscopymentioning

confidence: 99%

Diagnostic and Operative Laparoscopy in Oncology

Schlag¹,

Rau²

1994

Oncol Res Treat

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Cholecystectomy

Wittgen

Andrus

et al. 1993

Surg Endosc

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Laparoscopic cholecystectomy (LC), which results in less postoperative pain, disability, and scarring, has become an attractive alternative method of surgical management of the ambulatory patient with gallbladder disease. The best procedure for severely ill patients who are poor operative risks but require cholecystectomy, however, is unknown since the operative morbidity and mortality of LC in this group of patients had not been studied. All patients (177) undergoing cholecystectomy at one institution were evaluated. Based on their preoperative state of health as defined by a modified acute physiologic score (APS), patients were divided into two groups; one group was defined by an APS of less than 10, indicating they were in good health, and the other had an APS greater than or equal to 10, indicating that the group had multiple risk factors, predicting an increased postoperative morbidity and mortality. Selection for either procedure, LC or open cholecystectomy (OC), was made independently of the patient's preoperative status. Patients' past medical histories; demographic, physiologic, and laboratory data; and postoperative complications were evaluated. When all cholecystectomy patients were arranged into the respective risk groups, the age and severity of illness scores (APS) between LC and OC were not statistically different. Intraoperative and postoperative complications were not significantly different when patients undergoing LC were compared to patients undergoing OC. Laparoscopic cholecystectomy was associated with decreased hospitalization when compared to patients undergoing OC. The overall mortality of the patients undergoing OC was significantly greater than those undergoing LC. LC is an acceptable surgical alternative for high-risk patients requiring cholecystectomy.

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Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a T-tube stent

et al. 1991

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Iatrogenic injury to the common bile duct during laparoscopic cholecystectomy has previously necessitated an immediate laparotomy to alleviate bile leakage. In the course of 171 laparoscopic cholecystectomies performed at our hospital, intraoperative common bile duct injuries occurred in 2 patients. Each case was successfully treated using a laparoscopically placed T-tube, thus avoiding the need for a laparotomy. This novel intraoperative procedure successfully treated common bile duct injuries without resulting in postoperative complications.

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Percutaneous endoscopic treatment of cholelithiasis

Cited by 4 publications

References 63 publications

Diagnostic and Operative Laparoscopy in Oncology

Diagnostic and Operative Laparoscopy in Oncology

Cholecystectomy

Treatment of iatrogenic common bile duct injury during laparoscopic cholecystectomy through the laparoscopic insertion of a T-tube stent

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