Document Detail


A retrospective analysis of laparoscopic and open cholecystectomies.
MedLine Citation:
PMID:  8043928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 686 consecutive cases were reviewed for comparison between open cholecystectomy (OC) and laparoscopic cholecystectomy (LC). The procedures were performed by the teaching surgical service of a community hospital. Between March 1989 and December 1992, 381 patients had LC, 262 had OC, and 43 patients had attempted LC that was converted to open cholecystectomy (CONV). Postoperative hospital stay for LC was 2.9 +/- 3.7 days (range 12 h to 28 days) and was significantly less than those for OC (12.4 +/- 23.6 days) or CONV (8 +/- 8.3 days) (p < 0.0001). Patients who had LC revealed meaningfully decreased perioperative or postoperative antibiotic use, postoperative temperature elevations, and hospitalization when compared to OC or CONV (p < 0.0001). Bile duct injury was 0.26% with LC and 0.38% with OC. The percentage of postoperative bile leakage was 0.79% and 0.38% for LC and OC, respectively. LC cases were associated with lower complication rates when compared to OC or CONV (p < 0.005). No deaths were observed with LC (0%). However, the mortality rate for OC was 1.5%. The results of LC were more favorable than those of OC and CONV with respect to complications, morbidity, mortality, and length of hospital stay. Based on our experience, the patient outcome for LC was superior to OC.
Authors:
B Cagir; M Rangraj; L Maffuci; L E Ostrander; B L Herz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic surgery     Volume:  4     ISSN:  1052-3901     ISO Abbreviation:  J Laparoendosc Surg     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-08-26     Completed Date:  1994-08-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9109598     Medline TA:  J Laparoendosc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  89-100     Citation Subset:  IM    
Affiliation:
Department of Surgery, New Rochelle Hospital Medical Center, New York.
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MeSH Terms
Descriptor/Qualifier:
Cholecystectomy / mortality,  statistics & numerical data*
Cholecystectomy, Laparoscopic / mortality,  statistics & numerical data*
Costs and Cost Analysis
Female
Hospitals, Community
Hospitals, Teaching
Humans
Intraoperative Complications / epidemiology
Length of Stay / statistics & numerical data
Male
Middle Aged
Postoperative Complications / epidemiology
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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