Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center
In this retrospective study, we compared the results of 1,283 open cholecystectomies (OCs) performed at our medical center during the pre-laparoscopic era with 1,107 laparoscopic cholecystectomies (LCs) performed from 1990 to 1992. There was no difference in the percentage of cases of acute and chro...
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| Veröffentlicht in: | The American journal of surgery 1993-04, Vol.165 (4), p.459-465 |
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| container_title | The American journal of surgery |
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| creator | Williams, Lester F. Chapman, William C. Bonau, Roger A. McGee, Edwin C. Boyd, Russell W. Jacobs, J. Kenneth |
| description | In this retrospective study, we compared the results of 1,283 open cholecystectomies (OCs) performed at our medical center during the pre-laparoscopic era with 1,107 laparoscopic cholecystectomies (LCs) performed from 1990 to 1992. There was no difference in the percentage of cases of acute and chronic cholecystitis in each time period (16.8% in each), nor were there differences in the patient characteristics for each group. The percentage of patients undergoing intraoperative cholangiography was similar for patients with chronic cholecystitis for each period, although the incidence of abnormal cholangiograms was lower in the laparoscopic era (5.8% versus 15.2%, p |
| doi_str_mv | 10.1016/S0002-9610(05)80941-9 |
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Kenneth</creator><creatorcontrib>Williams, Lester F. ; Chapman, William C. ; Bonau, Roger A. ; McGee, Edwin C. ; Boyd, Russell W. ; Jacobs, J. Kenneth</creatorcontrib><description>In this retrospective study, we compared the results of 1,283 open cholecystectomies (OCs) performed at our medical center during the pre-laparoscopic era with 1,107 laparoscopic cholecystectomies (LCs) performed from 1990 to 1992. There was no difference in the percentage of cases of acute and chronic cholecystitis in each time period (16.8% in each), nor were there differences in the patient characteristics for each group. The percentage of patients undergoing intraoperative cholangiography was similar for patients with chronic cholecystitis for each period, although the incidence of abnormal cholangiograms was lower in the laparoscopic era (5.8% versus 15.2%, p<0.001). There was one bile duct injury in the OC group and three in the LC group (although one of these occurred after conversion to an open procedure), but this difference was not statistically significant. However, there was a higher mortality rate in the patients with acute cholecystitis treated with OC (2.3% versus 0%, p=0.03) and an increase in the overall complications in the patients with chronic cholecystitis in the OC group (7.5% versus 3.1%, p<0.001) compared with the LC group. The increase in overall complications appeared to be primarily related to the increased rate of wound-related complications (3.6% versus 0%, p<0.001) in the patients with chronic cholecystitis in the OC group. LC appears to be a safe procedure with a low incidence of complications including bile duct injury when performed by adequately trained surgeons.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(05)80941-9</identifier><identifier>PMID: 8480882</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bile ducts ; Biological and medical sciences ; Child ; Cholangiography ; Cholecystectomy ; Cholecystectomy - mortality ; Cholecystectomy, Laparoscopic - mortality ; Cholecystitis ; Cholecystitis - diagnostic imaging ; Cholecystitis - surgery ; Chronic Disease ; Common Bile Duct - injuries ; Complications ; Female ; Gallbladder diseases ; Health care facilities ; Humans ; Laparoscopy ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; Monitoring, Intraoperative ; Postoperative Complications - mortality ; Retrospective Studies ; Statistical analysis ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Treatment Outcome ; United States</subject><ispartof>The American journal of surgery, 1993-04, Vol.165 (4), p.459-465</ispartof><rights>1993 Reed Publishing USA</rights><rights>1993 INIST-CNRS</rights><rights>1993. 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Kenneth</creatorcontrib><title>Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>In this retrospective study, we compared the results of 1,283 open cholecystectomies (OCs) performed at our medical center during the pre-laparoscopic era with 1,107 laparoscopic cholecystectomies (LCs) performed from 1990 to 1992. There was no difference in the percentage of cases of acute and chronic cholecystitis in each time period (16.8% in each), nor were there differences in the patient characteristics for each group. The percentage of patients undergoing intraoperative cholangiography was similar for patients with chronic cholecystitis for each period, although the incidence of abnormal cholangiograms was lower in the laparoscopic era (5.8% versus 15.2%, p<0.001). There was one bile duct injury in the OC group and three in the LC group (although one of these occurred after conversion to an open procedure), but this difference was not statistically significant. However, there was a higher mortality rate in the patients with acute cholecystitis treated with OC (2.3% versus 0%, p=0.03) and an increase in the overall complications in the patients with chronic cholecystitis in the OC group (7.5% versus 3.1%, p<0.001) compared with the LC group. The increase in overall complications appeared to be primarily related to the increased rate of wound-related complications (3.6% versus 0%, p<0.001) in the patients with chronic cholecystitis in the OC group. LC appears to be a safe procedure with a low incidence of complications including bile duct injury when performed by adequately trained surgeons.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bile ducts</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cholangiography</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy - mortality</subject><subject>Cholecystectomy, Laparoscopic - mortality</subject><subject>Cholecystitis</subject><subject>Cholecystitis - diagnostic imaging</subject><subject>Cholecystitis - surgery</subject><subject>Chronic Disease</subject><subject>Common Bile Duct - injuries</subject><subject>Complications</subject><subject>Female</subject><subject>Gallbladder diseases</subject><subject>Health care facilities</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Intraoperative</subject><subject>Postoperative Complications - mortality</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Kenneth</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center</title><author>Williams, Lester F. ; Chapman, William C. ; Bonau, Roger A. ; McGee, Edwin C. ; Boyd, Russell W. ; Jacobs, J. Kenneth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-96764be4bc64f756d7cd3d629f932dd69aba87a48a734ea11523f0d6feb292ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bile ducts</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cholangiography</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy - mortality</topic><topic>Cholecystectomy, Laparoscopic - mortality</topic><topic>Cholecystitis</topic><topic>Cholecystitis - diagnostic imaging</topic><topic>Cholecystitis - surgery</topic><topic>Chronic Disease</topic><topic>Common Bile Duct - injuries</topic><topic>Complications</topic><topic>Female</topic><topic>Gallbladder diseases</topic><topic>Health care facilities</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Intraoperative</topic><topic>Postoperative Complications - mortality</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Surgery (general aspects). 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Kenneth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1993-04-01</date><risdate>1993</risdate><volume>165</volume><issue>4</issue><spage>459</spage><epage>465</epage><pages>459-465</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>In this retrospective study, we compared the results of 1,283 open cholecystectomies (OCs) performed at our medical center during the pre-laparoscopic era with 1,107 laparoscopic cholecystectomies (LCs) performed from 1990 to 1992. There was no difference in the percentage of cases of acute and chronic cholecystitis in each time period (16.8% in each), nor were there differences in the patient characteristics for each group. The percentage of patients undergoing intraoperative cholangiography was similar for patients with chronic cholecystitis for each period, although the incidence of abnormal cholangiograms was lower in the laparoscopic era (5.8% versus 15.2%, p<0.001). There was one bile duct injury in the OC group and three in the LC group (although one of these occurred after conversion to an open procedure), but this difference was not statistically significant. However, there was a higher mortality rate in the patients with acute cholecystitis treated with OC (2.3% versus 0%, p=0.03) and an increase in the overall complications in the patients with chronic cholecystitis in the OC group (7.5% versus 3.1%, p<0.001) compared with the LC group. The increase in overall complications appeared to be primarily related to the increased rate of wound-related complications (3.6% versus 0%, p<0.001) in the patients with chronic cholecystitis in the OC group. LC appears to be a safe procedure with a low incidence of complications including bile duct injury when performed by adequately trained surgeons.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8480882</pmid><doi>10.1016/S0002-9610(05)80941-9</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1993-04, Vol.165 (4), p.459-465 |
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| language | eng |
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| subjects | Acute Disease Adolescent Adult Aged Aged, 80 and over Bile ducts Biological and medical sciences Child Cholangiography Cholecystectomy Cholecystectomy - mortality Cholecystectomy, Laparoscopic - mortality Cholecystitis Cholecystitis - diagnostic imaging Cholecystitis - surgery Chronic Disease Common Bile Duct - injuries Complications Female Gallbladder diseases Health care facilities Humans Laparoscopy Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged Monitoring, Intraoperative Postoperative Complications - mortality Retrospective Studies Statistical analysis Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Treatment Outcome United States |
| title | Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center |
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