Laparoscopic Cholecystectomy - a Multicenter Belgian Experience

(1991) SYMP OF MINIMAL ACCESS SURGERY, LAPAROSCOPIC CHOLECYSTECTOMY : STATE OF THE ART — Location: CATHARINA HOSP EINDHOVEN, EINDHOVEN (Netherland)

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Abstract
In a Belgian multicenter study 507 patients were submitted to an attempt of laparoscopic cholecystectomy. 78% of the patients had uncomplicated gallstones whereas 22% had complicated ones. 40% of the patients were operated on by a surgeon with coelioscopic experience of less than 25 cases. A laparotomy was required in 5.5% of the patients. Hospital mortality was 0.4% and overall morbidity 7.3%: general complications occurred in 2% of the patients and local complications in 5.3% including minor complications in 3.1% and major complications in 2.2%. Reintervention was necessary in 1.4%. Residual common bile duct stones were detected in 1.2%. The mean postoperative hospital stay was 4.28 days. The benefit of laparoscopic cholecystectomy is essentially functional. Adequate teaching of coelioscopy in surgical training is mandatory to avoid unnecessary morbidity.
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Gigot, J.-F. (1991). Laparoscopic Cholecystectomy - a Multicenter Belgian Experience. Digestive Surgery, 8(2), 126-127. https://doi.org/10.1159/000172016 (Original work published 1991)