title: [Cholecystectomies at the Saint-George Hospital. Apropos of 672 operations performed, 1982-1991].
abstract: In a retrospective study of a 10-year period (1982-1991), the results of 672 consecutive operations for cholecystectomy were analyzed. 67.7% were females and the medium age was 54.4%. Ultrasound is used to be the test of choice and surgery was done for chronic cholecystitis in 79.9% and in 20.1% for acute cholecystitis. With an overall mortality rate of 1.9% and a morbidity of 16%, conventional cholecystectomy proved to be a safe method. Mortality and morbidity seem to be related to age (> 60 years, median age 70.5), sex (men = 70%), and associated procedures (choledochotomy with exploration, sphincterotomy, biliary derivation). Systematic antibiotic prophylaxis and non drainage of the sub-hepatic area in certain cases lowered the incidence of wound infection, and improved post-operative course. Selective operative cholangiogram also improved per and post-operative course and does not seem to increase the incidence of residual stones. Now, only the new laparoscopic cholecystectomy may represent the alternative to the ideal treatment of cholecystolithiasis.
authors.affiliation: Service de Chirurgie générale, Hôpital Saint-Georges, Beyrouth, Liban.
authors.forename: M
authors.initials: M
authors.lastname: Daher
authors.forename: G
authors.initials: G
authors.lastname: Yammine
authors.forename: K
authors.initials: K
authors.lastname: Nassif
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002758:Cholangiography; D002763:Cholecystectomy / Q000401:mortality; D002764:Cholecystitis / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011292:Premedication; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Les cholécystectomies à l'hôpital Saint-Georges. A propos de 672 cas opérés entre 1982-1991.