Percutaneous laparoscopic cholecystectomy: indications, contraindications and complications.
The indications, contraindications and complications of percutaneous laparoscopic cholecystectomy (PLC) were established from a group of 308 patients referred for cholecystectomy. Of the 308 patients 86% underwent PLC, 5% were commenced laparoscopically, but converted to open cholecystectomy and 9% were performed as open cholecystectomy from the outset. Complications included two bile leaks from the gall-bladder bed, one cystic duct stump leak and three retained stones. Pre-operative rather than intra-operative duct imaging was used so that common duct stones could be removed before operation. PLC is a safe procedure that has now become the standard technique for cholecystectomy.
Nottle
P D
PD
Alfred Hospital, Melbourne, Victoria.
D000367:Age Factors; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D000075202:Contraindications; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D011300:Preoperative Care; D011446:Prospective Studies; D012737:Sex Factors; D013997:Time Factors; D014739:Victoria / Q000453:epidemiology