Safe laparoscopic cholecystectomy

Vracko, Jozef; Hunt, M. Y.; Wiechel, Karl-Ludvig

doi:10.1007/s00464-004-2138-y

Cited by 3 publications

(2 citation statements)

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“…Laparoscopic cholecystectomy (LC) is the gold standard treatment for symptomatic cholelithiasis. The procedure is associated with less operative complications and shorter hospital stay compared to conventional cholecystectomy [1] , [2] . In the early years of LC, acute cholecystitis and concurrent liver cirrhosis are considered as relative contraindications.…”

Section: Introductionmentioning

confidence: 98%

The outcome of laparoscopic subtotal cholecystectomy in difficult cases – A case series

Supit

Mazni

et al. 2017

International Journal of Surgery Case Reports

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HighlightsThis is the first case series reporting the outcome of laparoscopic subtotal cholecystectomy (LSC) in Indonesian patients.The majority of thirty-four patients underwent LSC due to acute cholecystitis, followed by gallbladder empyema, chronic cholecystitis, history of cholangitis, Mirizzi’s syndrome and stone retention post-ERCP.The mean operating time was 158 min (median 150 min, range 60–240 min), mean length of hospital stay of 4.6 days (median 3 days, range 2–33 days), and mean drain usage for 3.6 days (median 3.0 days, range 1–19 days).Postoperatively there was one case of bilioenteric fistula, one case of stone retention and two cases of prolonged upper gastrointestinal symptoms. There was no case of biliary leakage, peritonitis or wound infection.The outcome of LSC is comparable to other publications, thus enabling this preliminary data to justify routine usage of LSC in difficult cases in our institution.

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Section: Introductionmentioning

confidence: 98%

The outcome of laparoscopic subtotal cholecystectomy in difficult cases – A case series

Supit

Mazni

et al. 2017

International Journal of Surgery Case Reports

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“…This allows for a shorter hospital stay and operating time as well as quicker postoperative rehabilitation and lower wound infection rates. 1 However, in some cases, such as adhesion, fibrosis, Mirizzi's syndrome, biliary anomalies, empyema of the GB, or gangrene, dissection of Calot's triangle may be very difficult. Previously, this used to be dealt with by converting to an open procedure, which prolongs hospital stay and could be associated with higher complication rates.…”

Section: Introductionmentioning

confidence: 99%

Frequency, Complications, and Predictive Factors for Performing Subtotal Laparoscopic Cholecystectomy in a Hepatobiliary Unit: A Comparative Cohort Study

Farrugia¹,

Ravichandran²,

Ali³

et al. 2019

World Journal of Laparoscopic Surgery With DVD

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Aims: Laparoscopic subtotal cholecystectomies (LSCs) are occasionally performed for difficult gallbladder (GB) surgery. The aim of this study is to determine the rate, complications, and factors predictive of performing LSC in a hepatobiliary (HPB) unit, in comparison to patients who have undergone a conventional operation. Materials and methods: A 5-year retrospective review of laparoscopic cholecystectomies (LCs) was performed by HPB team at a tertiary center. Demographic, operative, and postoperative data were identified. A randomized group (generated using online randomization software Research Randomizer®) of LC patients was identified from the study cohort, who had the same data recorded for comparison. Significance level was set at p < 0.05 when comparing the two groups of LC and LSC. Results: A total of 1,613 patients underwent LC, of which, 102 (6.3%) underwent LSC. The complication rate was 12.7% in the LSC group, mainly consisting of bile leak (3.9%) and collection requiring drainage (0.98%). The LC group had a 4.9% complication rate, of which, one bile leak was reported, i.e., 1 (0.98%). The length of stay was significantly longer in the LSC group (2 days vs 0 days in the LC group), and this group also had a slightly higher readmission rate (8.8% vs 3.92%). Laparoscopic subtotal cholecystectomy was found to be more likely in patients with previous cholecystitis, thickened GB wall on imaging and previous endoscopic retrograde cholangiopancreatography (ERCP). Conclusion: Laparoscopic subtotal cholecystectomy is a safe procedure and the above characteristics may be used to potentially predict who is more likely to undergo LSC. This may aid in the consenting process and also help to create a score that predicts the probability of undergoing LSC.

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Complications of Videolaparoscopic Cholecystectomy: A Retrospective Analysis of 1037 Consecutive Cases

Amboldi

Amboldi²,

Gherardi³

et al. 2011

International Surgery

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Safe laparoscopic cholecystectomy

Cited by 3 publications

References 0 publications

The outcome of laparoscopic subtotal cholecystectomy in difficult cases – A case series

The outcome of laparoscopic subtotal cholecystectomy in difficult cases – A case series

Frequency, Complications, and Predictive Factors for Performing Subtotal Laparoscopic Cholecystectomy in a Hepatobiliary Unit: A Comparative Cohort Study

Complications of Videolaparoscopic Cholecystectomy: A Retrospective Analysis of 1037 Consecutive Cases

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