title: [The results of laparoscopic treatment of the gallbladder lithiasis. About 500 cases].
abstract: 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.
authors.affiliation: Service de chirurgie générale, SFAX, Tunisie.
authors.forename: Mohamed Issam
authors.initials: MI
authors.lastname: Beyrouti
authors.forename: Ramez
authors.initials: R
authors.lastname: Beyrouti
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ben Amar
authors.forename: Foued
authors.initials: F
authors.lastname: Frikha
authors.forename: Walid
authors.initials: W
authors.lastname: Gharbi
authors.forename: Slim
authors.initials: S
authors.lastname: Elleuch
authors.forename: Mohamed
authors.initials: M
authors.lastname: Chaabouni
authors.forename: Issam
authors.initials: I
authors.lastname: Tafech
authors.forename: Nabil
authors.initials: N
authors.lastname: Dhieb
authors.forename: Mohamed
authors.initials: M
authors.lastname: Abid
authors.forename: Najmeddine
authors.initials: N
authors.lastname: Affes
authors.forename: Anis
authors.initials: A
authors.lastname: Masmoudi
mesh_terms: 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