[The results of laparoscopic treatment of the gallbladder lithiasis. About 500 cases].
BACKGROUND
Laparoscopic cholecystectomy is at present the gold standard treatment of gallbladder lithiasis.


OBJECTIVE
Assesment of Laparoscopic cholecystectomy


METHODS
Through a retrospective series of 500 laparoscopic cholecystectomies during a period going from January 1996 to March 2000, we tried to evaluate our experience by comparing our results to the literature data.


RESULTS
There were 420 women and 80 men with a sex ratio of 0.19. Average age was 50 years. 16.2% of our patients were obese. 13 patients had a history of respiratory disease and 122 history of a cardiovascular pathology essentially arterial hypertension. All our patients benefited from at least one hepato-biliary ultrasound examination before the intervention. Antibioprophylaxy was administrated in 93.8% of cases. In 23 cases (4.6%), a conversion was necessary for different causes. We noted 11 surgical complications (2.2%) among which 2 required a surgical resumption, and 11 medical complications dominated by broncho-pulmonary infections. We had no death.
Beyrouti
Mohamed Issam
MI
Service de chirurgie générale, SFAX, Tunisie.
Beyrouti
Ramez
R
Ben Amar
Mohamed
M
Frikha
Foued
F
Gharbi
Walid
W
Elleuch
Slim
S
Chaabouni
Mohamed
M
Tafech
Issam
I
Dhieb
Nabil
N
Abid
Mohamed
M
Affes
Najmeddine
N
Masmoudi
Anis
A
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019072:Antibiotic Prophylaxis; D002648:Child; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D014463:Ultrasonography