title: Cholecystectomy via Kocher incision without peritoneal closure.
abstract: This investigation was carried out to evaluate the surgical wound outcome of patients who underwent cholecystectomy via Kocher incision, without peritoneal closure. Consecutive patients (n = 129) were randomized either to have the peritoneal closure (n = 66) or to have this step omitted (n = 63). Demographic data of the patients were similar in both groups. There were no significant differences in overall wound complication (p = 0.44), wound infection (p = 0.71), wound dehiscense (p = 0.96) and incisional hernia (p = 0.95). This study provides strong evidence that the avoidance of the peritoneal closure represents no adverse effect to the postoperative course of the patients.
authors.affiliation: Departamento de Cirugía, Hospital General del Sur, Maracaibo, Venezuela.
authors.forename: S
authors.initials: S
authors.lastname: Dorfman
authors.forename: A
authors.initials: A
authors.lastname: Rincón
authors.forename: H
authors.initials: H
authors.lastname: Shortt
mesh_terms: D000328:Adult; D002763:Cholecystectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques / Q000009:adverse effects