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PERCUTANEOUS LAPAROSCOPIC CHOLECYSTECTOMY: INDICATIONS, CONTRAINDICATIONS AND COMPLICATIONS
Author(s) -
Nottle P. D.
Publication year - 1992
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.1445-2197.1992.tb05460.x
Subject(s) - medicine , cholecystectomy , percutaneous , laparoscopic cholecystectomy , surgery , open cholecystectomy , cystic duct , general surgery , common bile duct , bile leak , leak , bile duct , duct (anatomy) , environmental engineering , engineering
The indications, contraindications and complications of percutaneous laparoscopic cholecystectomy (PLC) were established from a group of 308 patients referred for cholecystectomy. Of the 308 patients 86% underwent PLC, 5% were commenced laparoscopically, but converted to open cholecystectomy and 9% were performed as open cholecystectomy from the outset. Complications included two bile leaks from the gall‐bladder bed, one cystic duct stump leak and three retained stones. Pre‐operative rather than intra‐operative duct imaging was used so that common duct stones could be removed before operation. PLC is a safe procedure that has now become the standard technique for cholecystectomy.