Laparocholecystectomy. 6,865 cases from Italian institutions.
Data concerning 6,865 laparocholecystectomies have been collected retrospectively from 19 Italian groups. Only 5% of all patients were chosen for open cholecystectomy (OC). Acute cholecystitis was present in 5.6% of laparocholecystectomies (LC). Conversion to laparotomy occurred in 3.1% of patients. Mortality was 0.06%, morbidity 2.53% (general anesthesia complications 0.07%; general complications 0.07%; omphalitis 0.7%; abdominal complications 1.69%). Main duct lesions occurred in 0.26% of the patients, biliary leaks in 0.48%, bleedings in 0.75%, perforations in 0.2%. Data from literature concerning OC are compared to ours: mortality and morbidity have been lowered by LC; general and abdominal-wall complications have been drastically reduced; main duct lesions are not different.
Croce
E
E
Fatebenefratelli and Oftalmico Hospital, Milan, Italy.
Azzola
M
M
Golia
M
M
Russo
R
R
Pompa
C
C
D000009:Abdominal Muscles / Q000473:pathology; D000208:Acute Disease; D000768:Anesthesia, General / Q000009:adverse effects; D001652:Bile Ducts / Q000293:injuries; D002763:Cholecystectomy / Q000706:statistics & numerical data; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000401:mortality / Q000706:statistics & numerical data*; D002764:Cholecystitis / Q000601:surgery; D006470:Hemorrhage / Q000453:epidemiology; D006801:Humans; D007249:Inflammation; D007431:Intraoperative Complications / Q000453:epidemiology; D007558:Italy / Q000453:epidemiology; D007813:Laparotomy / Q000706:statistics & numerical data; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014472:Umbilicus / Q000473:pathology