BACKGROUNDS/AIMS Laparoscopic cholecystectomy can reduce postoperative pain and recovery time. However, some patients experience prolonged postoperative hospital stay. We aimed to identify factors influencing the postoperative hospital stay after laparoscopic cholecystectomy. METHODS Patients (n=336) undergoing laparoscopic cholecystectomy for gallbladder pathology at 8 hospitals were enrolle...

OBJECTIVE To evaluate the outcomes of laparoscopic cholecystectomy in elderly patients at a single institution. METHODS A retrospective chart review was conducted of all patients > or = 65 years of age who underwent laparoscopic cholecystectomy over a 5-year period (January 1995 to December 1999). Four-trocar site laparoscopic cholecystectomy using the open Hasson technique were performed in ...

BACKGROUND Earlier economic analyses have evaluated charges but not costs, and have not considered the cost of production losses associated with open and laparoscopic cholecystectomy. This study attempted to accomplish an economic evaluation of open versus laparoscopic cholecystectomy from the point of view of society. METHODS A cost-minimization analysis, using a clinical decision model, was...

High risk patients who are candidates for laparoscopic cholecystectomy differ from the patients who have no existing risks and comorbidities in terms of the methods to be used as well as the expected outcomes. In order to recognize the safety of laparoscopic cholecystectomy, different cases of high risk patients undergoing laparoscopic cholecystectomy were gathered which demonstrate their condi...

Background: Endoscopic Retrograde Cholangio Pancreatography (ERCP) is the commonest method for treatment of biliary stones. In our study we compared 2 groups of patients managed with laparoscopic cholecystectomy post ERCP after maximum of 72 hours during same admission and after 28 days. Patients and Methods: The study conducted from January 2012 to January 2015 and included 86 patients; Group ...

BACKGROUND Laparoscopic cholecystectomy is now considered the first option for gallbladder surgery. However, 20% to 30% of cholecystectomies are completed as open operations often on elderly and fragile patients. The external validity of randomised trials comparing mini-laparotomy cholecystectomy and laparoscopic cholecystectomy has not been studied. The aim of this study is to analyse characte...

BACKGROUND Epidemiological data on characteristics of patients undergoing open or laparoscopic cholecystectomy are limited. In this register study we examined characteristics and mortality of patients who underwent cholecystectomy during hospital stay in Sweden 2000 - 2003. METHODS Hospital discharge and death certificate data were linked for all patients undergoing cholecystectomy in Sweden ...

In 1987, Mouret performed the first laparoscopic cholecystectomy changing surgical practice and it was mentioned by Rosen and Ponsky.1 Then the laparoscopic abdominal surgery increased and was common by the 1990s.2 The adoption of this new technique resulted new, specific operative complications. Incisional hernias at the site of entry of a trocar is a serious complication in laparoscopy,3 as m...

Background: Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. The present study is done to know the incidence of cholelithiasis in India with respect to age and sex. To compare and evaluate the advantages and disadvantages of lapar...

Minimal access surgery via the operating laparoscope has been performed by our gynaecological colleagues for many years. General surgeons have been slow to develop expertise in the techniques of laparoscopic surgery. The new small television cameras and the excellent colour television reproduction, together with purpose designed instrumentation, have made safe laparoscopic surgery a reality rat...