[Is cholecystectomy by celiovideoscopy dangerous in the initial period? Prospective study of 100 initial cases].
The aim of this study was to prospectively study the complication rate of our 100 initial laparoscopic cholecystectomies. The ultimate goal was to obtain a morbidity rate comparable to open cholecystectomy. No major complications were noticed. The conversion rate to open cholecystectomy was 8%, slightly higher in comparison with the literature. Absence of major complications could be explained by: a) indications limited to symptomatic non complicated cholelithiasis; b) assistance at the beginning of our experience of gynecologists used to laparoscopic techniques; c) conversion to open cholecystectomy in case of technical difficulties. Application of these principles allows the digestive surgeon to start laparoscopic cholecystectomy without submitting the patient to additional risks.
Marescaux
J
J
Service d'Urgence, de Chirurgie Générale et Endocrinienne, Centre Hospitalier Régional et Universitaire, Hôpital Civil, Strasbourg.
Evrard
S
S
Keller
P
P
Miranda
E
E
Mutter
D
D
Van Haaften
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies
La cholécystectomie par coeliovidéoscopie est-elle dangereuse en période d'initiation? Etude prospective de 100 cas initiaux.