Report on 3061 laparoscopic cholecystectomies
Jurka, M.; Prásek, J.; Czudek, S.; Dostalík, J.; Kania, R.; Leypold, J.; Novácek, V.; Okác, V.; Skácel, V.; Skricka, T.
Rozhledy v chirurgii mesicnik Ceskoslovenske chirurgicke spolecnosti 73(4): 160-164
1994
ISSN/ISBN: 0035-9351 PMID: 8052915 Document Number: 424993
The results of 3061 laparoscopic cholecystectomies made by 58 surgeons in nine departments--feasibility 88.9%, low morbidity rate (n = 2071) 11.8%, high morbidity rate 2.48%, mortality rate 0.22%, residual choledocholithiasis 1.36%, preoperative use of endoscopic methods 1.0%, revision in a total of 1.8%--are as a rule less favourable than summarized statistical data from abroad. Similarly as in data abroad the incidence of biliary lesions is not satisfactory--0.65%. The incidence of fistulas (0.13%) revisions on account of haemorrhage (0.29%) and surgical preoperative accidents (0.24%) was lower. Departments which use thermocoagulation have a significantly lower incidence of lesions (0.14% - p < 0.06) than teams working with electrocoagulation.