[Laparoscopic cholecystectomy as evolution of traditional cholecystec- tomy. Comparative evaluation].
Laparoscopic cholecystectomy (LC) is a minimally invasive method of removing the gallbladder that has become an accepted procedure all over the world. Authors performed 200 LC and compare the results of first 70 procedures with a matched group of patients who have undergone traditional cholecystectomy (TC) to evaluate its safety and efficacy. The average length of operation in the LC group was 64.5 +/- 26.3 min as compared to 68.5 +/- 22.5 min in the TC group. The difference between the incidence of postoperative complications in the 2 group was not statistically significant. The average length of stay in the LC group was 2.3 +/- 1.9 days versus 5.2 +/- 1.4 in the TC group. The difference is statistically significant. The comparison between the 2 methods shows less discomfort for LC patients during postoperative course. Pain was minimal, bowel evacuation was early and spontaneous, urinary retention only occurred in 2 patients versus 21 in TC group. The difference is statistically significant. Our results confirm laparoscopic cholecystectomy is a safe, effective and cost-efficient alternative to open cholecystectomy.
Sarli
L
L
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Parma.
Pietra
N
N
Carreras
F
F
Longinotti
E
E
Peracchia
A
A
D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000503:physiopathology / Q000601:surgery*; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology
La videolaparocolecistectomia come evoluzione della colecistectomia tradizionale. Valutazioni comparative.