title: Outcome of laparoscopic cholecystectomy at a secondary level of care in Saudi Arabia.
abstract: OBJECTIVE
  The first option for gallbladder surgery is laparoscopic cholecystectomy. The aim of this study is to analyze the outcomes for all patients who underwent laparoscopic cholecystectomy at a secondary level of care.
  
  
  METHODS
  Between 2005 and 2008, 968 consecutive laparoscopic cholecystectomies were performed at King Fahad Hospital. We collected and analyzed data including age, gender, body mass index (kg/m2), the American Society of Anesthesiologists (ASA) class, mode of admission (elective or emergency), indication for LC (chronic or acute cholecystitis [AC]), co-morbid disease, previous abdominal surgery, conversion to open cholecystectomy, complications, operation time, and length of postoperative hospital stay.
  
  
  RESULTS
  Nine hundred and sixty-eight patients had laparoscopic cholecystectomy at the center. There were 824 females and 144 males; the age range was 15-64 (mean 32.9 ± 12.7 years). The operating time was 45 to 180 min (median 85 min); the complication rate was 4.03% (39 patients).
  
  
  CONCLUSIONS
  Laparoscopic cholecystectomy could be performed safely in the majority of patients with cholelithiasis, by an experienced surgical team at a secondary level of care.
authors.affiliation: Department of Surgery, College of Medicine at Al-Ahsa, King Faisal University, Al-Ahsa, Saudi Arabia. abdu3939@yahoo
authors.forename: Abdulrahman S
authors.initials: AS
authors.lastname: Al-Mulhim
authors.forename: Tarek T
authors.initials: TT
authors.lastname: Amin
mesh_terms: D000293:Adolescent; D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012529:Saudi Arabia; D016896:Treatment Outcome; D055815:Young Adult