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A Journal on Surgery

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Chirurgia 2000 October-December;13(5-6):259-62


language: Italian

Laparoscopic cholecystectomy. Personal experience

Nanni E., Casaldi V., Conte A. M., De Ruvo E., Elia M., Masci B., Mezzetti G., Montalti C., Cancrini F.


Background. Aim of this paper is to study the results of laparoscopic cholecystectomy.
Methods. From January 1994 to December 1998 340 patients (247 women and 93 men) have undergone laparoscopic cholecystectomy at the San Carlo di Nancy Hospital, Department of General Surgery IDI-Health (Rome); 25 of these patients were suffering from acute cholecystitis and have been urgently submitted to Surgical treatment.
Results. In 80 cases (23.5%) minor complications controllable intraoperatively (perforation of cholecyst, loss of calculi in abdomen, blending of cystic artery of cholecyst-bed) have been found; the rate of greater complications (lesion of main biliary way, vascular lesions) has been 0.8% (3 cases). Conversion has been necessary for 11 patients (3.2%) and re-operation in 6 cases (1.7%). Perioperative mortality did not occur. The postoperative period in bed was on average 3 days. All patients have subsequently made clinical-instrumental checks of follow-up after one and three months from the surgery.
Conclusions. Our results (greater and lesser complications, conversions, reoperations) have been compared with those of the bigger international case histories, retrospectively. The data point out an agreement on morbidity and mortality. The videoassisted laparoscopic cholecystectomy must therefore be considered the method of choice for the treatment of gallbladder stones both in choice-adoption and in urgency. However this mini-invasive method needs in order to reduce the risks connected with the laparoscopical technique period of training.

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