Is cholecystectomy by celiovideoscopy dangerous in the initial period? Prospective study of 100 initial cases
Marescaux, J.; Evrard, S.; Keller, P.; Miranda, E.; Mutter, D.; Van Haaften, K.
Gastroenterologie Clinique et Biologique 16(11): 875-878
1992
ISSN/ISBN: 0399-8320 PMID: 1483558 Document Number: 395745
The aim of this study was to prospectively study the complication rate of our 100 initial laparoscopic cholecystectomies. The ultimate goal was to obtain a morbidity rate comparable to open cholecystectomy. No major complications were noticed. The conversion rate to open cholecystectomy was 8%, slightly higher in comparison with the literature. Absence of major complications could be explained by: a) indications limited to symptomatic non complicated cholelithiasis; b) assistance at the beginning of our experience of gynecologists used to laparoscopic techniques; c) conversion to open cholecystectomy in case of technical difficulties. Application of these principles allows the digestive surgeon to start laparoscopic cholecystectomy without submitting the patient to additional risks.