Results of laparoscopic cholecystectomy in a third-level university hospital after 17 years of experience

Abstract

Objective: the aim of the study is to determine the results obtained with laparoscopic cholecystectomy at Ramón y Cajal Hospital after 17 years of experience, comparing current results with those at the beginning of the experience.

Trends in cholecystectomy rates in a defined population during and after the period of transition from open to laparoscopic surgery

“…The proportion of females in this study was 71%, which is in accordance with other series from different countries that reported between 62.1% and 77% female patients [4,8,[13][14][15][16][17][18][19][20].…”

A Study of Conversions of Laparosocopic Surgeries Into Open Surgeries: A Analytical Study

“…Our observation of occurrence of conversion in elderly is comparable with other studies. 3,4,5,6,7 Some author's advocated that the increased conversion in elderly patients was explained by recurrent attacks and longer duration of symptomology. 5,6 But in our study the duration of symptomology was not longer but comparable to their younger counter parts.…”

“…Almost every study either corroborated this or further cemented this observation. 1,8,3,4,5,7,9 It was initially proposed that this higher conversion rate might be due the heedless attitude of the male gender which influences them to ignore their health, but this wasn't a doubtless scientific explanation 9 . Yol S et al 9 conducted a trail in which tissue hydroxyproline and collagen were measured in sample taken from the gallbladder wall and pericholecystic tissue of both genders.…”

“…This fibrosuppressive effect of estrogen may explain the decresed incidence of adhesion formation in women. 8 Despite the fact that Ballal M et al 4 Though in literature trocar related complication like Subcutaneous emphysema due to extra peritoneal insufflations, 11 enteric injury or perforation 7,11 and port site bleeding 7 have been described. None of the cases in the present series had a trocar related complication.…”

“…Our case of Bile Duct Injury had Mirizzi syndrome Type I which has a documented conversion rate of 74%. 7 It has been observed that as the usage of LC has increased so has the incidence of Bile Duct Injury. It has been speculated that the two dimensional image, limited visual field, absence of tactile sensation may be responsible for this trend.…”