Audit of laparoscopic cholecystectomy in a single center.
A continuous audit is required to ensure laparoscopic cholecystectomy (LC) is performed safely in the surgical community in general. A retrospective review of all LC done in a single center was performed. A total of 1,244 LC were attempted. The conversion rate was 12.4%, the complication rate 3.5%, and the bile duct injury rate 0.4%. Forty percent of bile duct injury occurred after conversion. A decreasing trend of complication rate was seen in the early part of the series, then the rate steadied at about 2.5-3%. A higher threshold of conversion may not increase the bile duct injury rate. However, good laparoscopic technique and adequate experience are prerequisites to safe LC.
Cheung
M T
MT
Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong.
Yuen
C H
CH
Tse
C W
CW
Chia
N H
NH
Chiu
W Y
WY
D001652:Bile Ducts / Q000293:injuries; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data*; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008485:Medical Audit; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D012449:Safety