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LAPAROSCOPIC CHOLECYSTECTOMY INITIAL EXPERIENCE
Author(s) -
Jones R. M.,
Fletcher D. R.,
MacLellan D. G.,
Lowe A. W.,
Hardy K. J.
Publication year - 1991
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1991.tb00208.x
Subject(s) - medicine , laparotomy , spillage , laparoscopic cholecystectomy , surgery , general surgery , cholecystectomy , gallbladder , percutaneous , bile duct , common bile duct , engineering , waste management
Twenty‐five consecutive patients underwent percutaneous laparoscopic cholecystectomy (PCC). The gallbladder was removed successfully in 18 patients. The mean postoperative hospital stay was 1.4 days and patients returned to normal activity at a mean 8 days after operation. Postoperative pain was minimal. Formal laparotomy was performed in 7 patients due to: bleeding (3 patients), stone spillage (3 patients) and exploration of the common bile duct (1 patient). Complications were reduced with experience and strict adherence to the described operative technique. With obvious advantages for the patient, hospitals and the community an increased demand for PCC is inevitable. However, its role in the management of cholelithiasis and overall safety have yet to be determined. There is a significant learning curve and proper training is necessary. The widespread introduction of PCC has immediate implications for surgical training.