[Experiences with 2,200 laparoscopic cholecystectomies as the treatment concept in gallstone disease].
The laparoscopic cholecystectomy is fully integrated into the therapy concept of gallstone disease. The laparoscopic procedure was successfully performed in 97.5% of 2200 patients. In 2.5% of the patients the operation had to be converted to open surgery. Complications occurred in 3.6%, containing infections of the umbilicus (2.2%), postoperative bleedings (0.4%) and lesions of the d.hepatocholedochus (0.4%). Mortality rate was 0.1%. During the last 2 years the indication for the laparoscopic approach has been rapidly expanded while the indication for primary open surgery was reduced to 2% of the patients. Laparoscopic cholecystectomy proved to be a rapid and safe procedure for treating gallbladder stones.
Löhde
E
E
I. Chirurgische Abteilung, Krankenhaus Moabit Berlin.
Raude
H
H
Kleine
U
U
Schairer
W
W
Kraas
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation; D002764:Cholecystitis / Q000401:mortality / Q000601:surgery*; D002769:Cholelithiasis / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D015996:Survival Rate
Erfahrungen nach 2200 laparoskopischen Cholezystektomien als Behandlungskonzept des Gallensteinleidens.