Abstract | BACKGROUND: METHODS: A retrospective study was conducted of patients who received LC for AC between January 1994 and June 2001. Patients' demographics, clinical findings and perioperative outcomes were evaluated. RESULTS: There were 140 men and 141 women with a mean age of 56.9 years (range, 23-89 years). Two hundred and eighteen of these patients underwent successful LC. There were 63 conversions (22.4%) for uncertain anatomy and difficult dissection (41), gangrenous or perforated gallbladder (16) and bleeding (6). The conversion rates as stratified to surgeon's seniority were 25.1%, 22.8% and 9.7% for registrar, senior registrar and consultant, respectively. The mean operative time was 84.3 minutes (range, 30-255 minutes) and the mean postoperative stay was 5.8 days (range, 1-35 days). The overall complication rate was 11.6%, including two bile duct injuries and two perioperative deaths. CONCLUSION: LC for AC is safe and effective and associated with a low incidence of complications when routinely applied by surgical residents. The conversion rate is related to operators' surgical experience.
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Authors | Chun Han Chau, Wing Tai Siu, Chung Ngai Tang, Ping Yiu Ha, Shek Yuen Kwok, Kwok Kay Yau, Anthony Chi Ngai Li, Michael Ka Wah Li |
Journal | Asian journal of surgery
(Asian J Surg)
Vol. 29
Issue 3
Pg. 120-4
(Jul 2006)
ISSN: 1015-9584 [Print] China |
PMID | 16877207
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Cholecystectomy, Laparoscopic
- Cholecystitis
(surgery)
- Female
- Hong Kong
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Treatment Outcome
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