Twelve hundred open cholecystectomies before the laparoscopic era. A standard for comparison.
Records of 1200 consecutive open cholecystectomies, performed by a teaching service of a large, urban hospital in the years immediately preceding the laparoscopic era, were reviewed for morbidity and mortality rates. The mortality rate in this series was 1.8%, chiefly in the older age groups. Only two ductal injuries were incurred. A review of published series from 1952 through 1990 revealed a mean mortality rate of 1.53%. These recent observations on the morbidity and mortality after open operation should provide a useful standard of comparison with ongoing similar studies of laparoscopic cholecystectomy.
Morgenstern
L
L
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.
Wong
L
L
Berci
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002763:Cholecystectomy / Q000191:economics / Q000379:methods; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000401:mortality; D012189:Retrospective Studies