OBJECTIVE To study the safety and efficacy of laparoscopic cholecystectomy for acute cholecystitis in elderly patients by comparing the results with open cholecystectomy. DESIGN Retrospective study. SETTING Regional hospital, Hong Kong. SUBJECTS AND METHODS Patients aged 75 years or older undergoing laparoscopic cholecystectomy for acute cholecystitis between January 1994 and December 199...

Introduction. The aim of this study was to characterize national trends in adoption of laparoscopic cholecystectomy and determine differences in outcome based on type of surgery and patient age. Methods. Retrospective cross-sectional study of patients undergoing cholecystectomy. Trends in open versus laparoscopic cholecystectomy by age group and year were analyzed. Differences in outcomes inclu...

BACKGROUND Faced with a difficult laparoscopic cholecystectomy the surgeon may feel that conversion to open operation would risk greater complications because of the laparotomy. Information on the effect of conversion is lacking. The purpose of this study is to measure the complications of laparoscopic cholecystectomy and observe the effect of the conversion rate. METHODS A total of 957 patie...

BACKGROUND Open cholecystectomy through a small incision is an alternative to laparoscopic cholecystectomy. METHODS From 1 January 2002 through 31 December 2003, all operations upon the gallbladder in a district hospital with emergency admission and responsibility for surgical training were done as intended small-incision open cholecystectomy. RESULTS 182 women and 90 men with a median age ...

conclusions laparoscopic cholecystectomy as the method of choice in treatment of gallbladder stone is associated with high success rate. this approach is increasingly being performed because of the decrease in patients’ hospital stay, morbidity, and rapid return to normal life. patients and methods this is a retrospective study. medical records of patients who underwent laparoscopic cholecystec...

INTRODUCTION Obesity usually depreciates early results of abdominal operations performed in an open way, but not always after laparoscopic operations. Aim of the study is to compare early results and quality of life after most common abdominal operations (cholecystectomy and appendectomy) performed on obese and non-obese patients. MATERIAL AND METHODS 166 patients who were operated in academi...

.. Introduction: Acute biliary pancreatitis is a serious complication of biliary calculous disease and is associated with significant morbidity and mortality. Incidence is more often in females and cause is the gall stones in majority of the cases. Definitive treatment is cholecystectomy and with the advancement of minimal invasive surgery, laparoscopic cholecystectomy has been considered as a ...

AIM This study want to examine (a) whether neutrophils, the neutrophil-elastase, C-reactive protein and the Interleukin- 6 are modified and how, in patients after laparoscopic cholecystectomy open cholecystectomy; (b) whether these findings are indicative of an increased risk to develop infectious complications. MATERIALS OF STUDY Circulating Interleukin-6 level, C-reactive protein and neutro...

BACKGROUND AND OBJECTIVES Laparoscopic cholecystectomy can be safely performed in patients with acute cholecystitis. However, the rate of conversion to open cholecystectomy remains higher when compared with patients with chronic cholecystitis. Preoperative clinical or laboratory parameters that could predict the need for conversion may assist the surgeon in preoperative or intraoperative decisi...

Introduction. Stump cholecystitis is a recognised condition in which a large gallbladder remnant becomes inflamed after subtotal cholecystectomy. When this occurs, a completion cholecystectomy is indicated. Traditionally, these patients were subjected to open surgery because the laparoscopic approach was anticipated to be technically difficult. We present a case of completion cholecystectomy us...