[Laparoscopic cholecystectomy].
Laparoscopic digestive surgery is right now like a revolution. The author, after a short historic hommage to Raoul Palmer who in 1940 realized the first laparoscopy and also to Philippe Mouret and François Dubois who performed the first laparoscopic cholecystectomy in the world in 1987, is doing some comments. The comments are based in the experience of the author who performed in his surgical department about 400 cholecystectomies and another study realized with B. Delaitre on 6512 cases showing a decrease of morbidity however a dramatic increase of biliary complications from 1/1000 to 1% this leads the author to two types of reflexions. One based on technical problem especially in high frequency surgery, the other in training of this new surgical technic and also on rapid extension, sometime anarchistic, of the indications of this new digestive laparoscopic surgery. In conclusion, we have to performed clinical research before doing next applications of laparoscopic surgery and keep in mind the necessity for a new technic to be better for patients.
Testas
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Service de Chirurgie digestive, Centre hospitalo-universitaire de Bicêtre, Le Kremlin-bicetre.
Dewatteville
J C
JC
D000041:Absenteeism; D002763:Cholecystectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000191:economics / Q000379:methods* / Q000639:trends; D017048:Health Care Costs; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D007902:Length of Stay / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology
Réflexions à propos de la cholécystectomie par voie coelioscopique.