Assessment of laparoscopic cholecystectomy procedures at the Hospital Clínicas de Porto Alegre
DOI:
https://doi.org/10.22491/2357-9730.125705Keywords:
Cholelithiasis, laparoscopyAbstract
OBJECTIVE: Laparoscopic cholecystectomy (LC) is the treatment of choice for cholelithiasis. Our objective was to assess the results of LC in comparison with previous data published in 1994.
PATIENTS AND METHODS: From 1992 to 1999, 2,300 patients were submitted to surgery at the Hospital de Clínicas de Porto Alegre. The medical records of 1,540 of these patients were assessed retrospectively. The variables evaluated were preoperative diagnosis, duration of hospital stay and of surgery, intra- and postoperative complications, conversion rate to open surgery, and anatomicopathological examination of the gallbladder.
RESULTS: The most common preoperative diagnosis was of symptomatic gallstones (92%); the average hospital stay was of 3.6 ± 6 days (median of 2 days); the average duration of surgery was of 89.5 ± 38 minutes; the most frequent intraoperative complications were gallbladder rupture (7.3%), calculi in peritoneum (0.8%), and iatrogenic bile duct injury (0.2%); and the postoperative complications reported were wound infection (1.3%), retained stones (0.6%), and biliary peritonitis (0.5%). The conversion rate to open procedure was of 2.5%, and reoperation was necessary in 1.8% of cases. There was only one death (0.06%).
CONCLUSION: In comparison to data from a previous experience, there has been an improvement in LC results, but additional technical improvements can still be made.
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