Appraisal of laparoscopic cholecystectomy.
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TL;DR: In this paper, the authors report the experience of three general surgeons performing 304 laparoscopic cholecystectomies in three private hospitals between October 1989 and November 1990, revealing a complication rate of 2% and no deaths.
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Abstract: This paper reports the experience of three general surgeons performing 304 laparoscopic cholecystectomies in three private hospitals between October 1989 and November 1990. Laparoscopic cholecystectomy boasts two major advantages over the conventional procedure: the remarkable reduction in postoperative pain and economic benefit, largely due to the patient's early return to work. Revealing a complication rate of 2% and no deaths, this study has shown that this procedure can offer patients these advantages with a medical risk no greater than that accompanying conventional cholecystectomy. Patient safety must be paramount, and it is the responsibility of the surgical community to ensure that all surgeons receive the highest quality training and that the technique is applied appropriately.
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Citations
Complications of laparoscopic cholecystectomy: A national survey of 4,292 hospitals and an analysis of 77,604 cases
Daniel J. Deziel,Keith W. Millikan,Steven G. Economou,Alexander Doolas,Sung-Tao Ko,Mohan C. Airan +5 more
TL;DR: It is demonstrated that laparoscopic cholecystectomy is associated with low rates of morbidity and mortality but a significant rate of bile duct injury, which is significantly lower at institutions that had performed more than 100 cases.
1.4K
Laparoscopic Cholecystectomy The New 'Gold Standard'?
TL;DR: Laparoscopic cholecystectomy is regarded as the "gold standard" therapy for management of symptomatic cholelithiasis.
515
Mortality and Complications Associated with Laparoscopic Cholecystectomy: A Meta-Analysis
Judy A. Shea,Michael J. Healey,Jesse A. Berlin,John R. Clarke,Peter F. Malet,Rudolf N. Staroscik,J. S. Schwartz,Sankey V. Williams +7 more
TL;DR: Except for a higher common bile duct injury rate, laparoscopic cholecystectomy appears to be at least as safe a procedure as that of open choleCystectomy.
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Open cholecystectomy. A contemporary analysis of 42,474 patients
Joel J. Roslyn,Gregory S. Binns,Edward F. X. Hughes,Kimberly D. Saunders-Kirkwood,Michael J. Zinner,Joe A. Cates +5 more
TL;DR: These data indicate that open cholecystectomy currently is a very safe, effective treatment for cholelithiasis and is being performed with near zero mortality.
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A prospective randomized trial comparing open versus laparoscopic appendectomy.
Richard C. Frazee,John W. Roberts,Richard E. Symmonds,Samuel K. Snyder,John C. Hendricks,Randall W. Smith,M D Custer rd,J B Harrison +7 more
TL;DR: Patients who underwent laparoscopic appendectomy have a shorter duration of analgesic use and return to full activities sooner postoperatively when compared with patients who underwent open appendectomies, and are considered to be the procedure of choice in patients with acute appendicitis.
303
References
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