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>Journals >Cirujano General >Year 2002, Issue 4


Bernal GR, Olivares OO, Noyola CS, Ruvalcaba SR, Aldape Y, Cantú Z
Laparoscopic cholecystectomy versus traditional cholecystectomy. Results from a series of 1,000 patients
Cir Gen 2002; 24 (4)

Language: Español
References: 41
Page: 286-291
PDF: 4. Kb.


Full text




ABSTRACT

Objective: To inform the unicentric results of a series of 1,000 cholecystectomy cases with laparoscopic or traditional approach.
Setting: Third level health care hospital.
Design: Retrospective survey from August 1991 to December 2001. Statistical analysis: Z, Chi square, and Mann-Whitney U tests (Software: Primer of Biostatistics v4.0/win).
Patients and methods: Two groups were formed according to the surgical approach: traditional cholecystectomy (TC) and laparoscopic cholecystectomy (LC). Variables studied were: age, gender, surgical time, perioperative management and evolution, postoperative analgesia, morbidity and mortality, hospital stay, and return to usual activities.
Results: We studied 500 patients in each group. Eighty percent of group TC were women; in the LC group, men and younger women predominated (p ‹ 0.05). Both procedures were efficacious and revealed no differences in morbidity. Surgical time, analgesia, hospital stay were lower for LC-group patients, they also returned faster to their usual activities.
Conclusion: From the results of this series and from the bibliography search, it can be concluded that the laparoscopic approach seems to be the golden standard in the hand of a surgeon familiarized with the traditional approach and who has the capacity to convert the laparoscopic approach to the open one when faced with a technical difficulty or in doubt of a lesion that might risk the patient’s life.


Key words: Laparoscopic cholecystectomy, open cholecystectomy, morbidity.


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