title: 1525 laparoscopic cholecystectomies without biliary injury: a single institution's experience.
abstract: Laparoscopic Cholecystectomy (LC) has become the preferred treatment of gallbladder disease. The indications for LC remain unchanged from those for open cholecystectomy (OC). A total of 1525 patients underwent LC at Georgia Baptist Medical Center between December 1989 and December 1992. The procedure was completed in 1,492 patients (97.8%) and required conversion to OC in 33 patients (2.2%). Selective intraoperative cholangiography was used in 165 patients (10.8%). Overall morbidity was 4.06%, and there were four deaths not operatively related, for a 0.26% mortality rate. There have been no biliary ductal injuries. The average hospital stay was 0.82 days, with 37.4% of the patients going home as true outpatients and 44.5% going home on postop Day one. Most published series on LC report a small incidence of biliary injury. We feel that with meticulous dissection of the cystic duct and use of selective intraoperative cholangiography to define unsure anatomy, biliary injury can be minimized.
authors.affiliation: Department of Medical Education, Georgia Baptist Medical Center, Atlanta 30312.
authors.forename: C L
authors.initials: CL
authors.lastname: Newman
authors.forename: R A
authors.initials: RA
authors.lastname: Wilson
authors.forename: L
authors.initials: L
authors.lastname: Newman
authors.forename: S
authors.initials: S
authors.lastname: Eubanks
authors.forename: T D
authors.initials: TD
authors.lastname: Duncan
authors.forename: E M
authors.initials: EM
authors.lastname: Mason
authors.forename: J P
authors.initials: JP
authors.lastname: Wilson
authors.forename: G W
authors.initials: GW
authors.lastname: Lucas
mesh_terms: D001659:Biliary Tract / Q000293:injuries; D002758:Cholangiography; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D006801:Humans; D007432:Intraoperative Period; D007902:Length of Stay; D011183:Postoperative Complications / Q000401:mortality