title: [Indications for surgical therapy of gallstones].
abstract: 4675 patients which underwent a cholecystectomy because of gallstone disease were included in a prospective multi-institutional study from 01/09/1994 to 31/08/1995 at 29 east-german hospitals. 3,207 (68.6%) patients had done a laparoscopic cholecystectomy (LCE). 1,468 (31.4%) patients received a primary open cholecystectomy (KCE). A conversion rate of 7.7% (n = 247) was seen. In 32.8% of LCE and in 39.5% of KCE diagnostic procedures of the common bile duct were not performed at all. The rate of open revision of the common bile duct was 4.5% (n = 211). The highest postoperative morbidity and operative mortality were found in KCE with revision of the common bile dutct.
authors.affiliation: Chirurgische Klinik, Carl-Thiem-Klinikum Cottbus.
authors.forename: A
authors.initials: A
authors.lastname: Koch
authors.forename: I
authors.initials: I
authors.lastname: Gastinger
mesh_terms: D002763:Cholecystectomy / Q000706:statistics & numerical data*; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data*; D002769:Cholelithiasis / Q000401:mortality / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000401:mortality / Q000601:surgery; D005859:Germany, East; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D012086:Reoperation; D016019:Survival Analysis
vernacular_title: Indikationen zur chirurgischen Therapie des Gallensteinleidens.