title: Laparoscopic cholecystectomy with previous gastrectomy.
abstract: BACKGROUND
  To evaluate the safety and efficacy of laparoscopic cholecystectomy (LC) in patients with a history of gastrectomy.
  
  
  METHODS
  The clinical data of 9,403 consecutive patients who underwent LC from January 2003 to September 2010 in our hospital were retrospectively analyzed; 30 of them had undergone previous gastrectomy. We compared the operative duration, hospitalization, and conversion rate between patients with, and those randomized selected patients without, a history of gastrectomy.
  
  
  RESULTS
  All patients were treated by laparoscopic procedure successfully. The mean operative duration (55.00 min vs. 29.63 min, P < .05) and mean hospitalization duration (4.57 days vs. 3.00 days, P < .05) were significantly longer in the patients with a history of gastrecotomy. There are no complications such as bile duct and bowel injury in control group, however two bile duct injuries emerged in the observed group, which required surgical intervention.
  
  
  CONCLUSIONS
  Although the operation is difficult, LC is a safe and effective treatment for the patients with a history of gastrectomy.
authors.affiliation: General Surgery Department, Shanghai Ruijin Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, 200025 China.
authors.forename: Mingliang
authors.initials: M
authors.lastname: Wang
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.forename: Chenghong
authors.initials: C
authors.lastname: Peng
mesh_terms: D000328:Adult; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies