Cirujano General

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>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


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.


  1. Alanis Ortega A, Uscanga LF. Cholelithiasis in Mexico. Studies on biliary lipid composition in normal subjects and patients with cholesterol gallstones. Rev Invest Clin 1978; 30: 41-8.

  2. Ambrosius DK. Cholecystitis and cholecystolithiasis in children. Bol Med Hosp Infant Mex 1981; 38: 599-606.

  3. Mendez-Sanchez N, Jessurun J. Prevalence of gallstone disease in Mexico. A necropsy study. Dig Dis Sci 1993; 38: 680-3.

  4. Mendez-Sanchez N, Vega H. Risk factors for gallstone disease in Mexicans are similar to those found in Mexican-Americans. Dig Dis Sci 1998; 43: 935-9.

  5. Dunn D, Nair R, Fowler S, McCloy R. Laparoscopic cholecystectomy in England and Wales: results and an audit by the Royal College of Surgeons of England. Ann R Coll Surg Engl 1994; 76: 269-75.

  6. Holohan TV. Laparoscopic cholecystectomy. Lancet 1991; 338: 801-3.

  7. McMahon AJ, Russell IT, Baxter JN, Ross S, Anderson JR, Morran CG et al. Laparoscopic versus minilaparotomy cholecystectomy: a randomised trial. Lancet 1994; 343: 135-8.

  8. Berggren U, Gordh T, Grama D, Haglund U, Rastad J, Arvidsson D. Laparoscopic versus open cholecystectomy: hospitalization, sick leave, analgesia and trauma responses. Br J Surg 1994; 81: 1362-5.

  9. Barkun JS, Barkun AN, Meakins JL. Laparoscopic versus open cholecystectomy: the Canadian experience. The McGill Gallstone Treatment Group. Am J Surg 1993; 165: 455-8

  10. National Institutes of Health consensus development conference statement on gallstones and laparoscopic cholecystectomy. Am J Surg 1993; 165: 390-8.

  11. Wherry DC, Marohn MR, Malanoski MP, Hetz SP, Rich NM. An external audit of laparoscopic cholecystectomy in the steady state performed in medical treatment facilities of the Department of Defense. Ann Surg 1996; 224: 145-54.

  12. Rusell JC, Walsh SJ, Mattie AS, Lynch JT. Bile duct injuries, 1989-1993: A statewide experience. Connecticut Laparoscopic Cholecystectomy Registry. Arch Surg 1996; 131: 382.

  13. Olsen DO. Laparoscopic Cholecystectomy: A Decade of Experience. American College of Surgeons: 84th Postgraduate Course. Minimal Access Surgery 1998; 1-3.

  14. Bernal Gómez R, García Vázquez A, Noyola Cedillo S, De la Parra-Juambelz S, Aguirre R, Herrera L. Colecistectomía laparoscópica. Análisis de 50 casos. Rev Gastroenterol Méx 1992; 57: 233-7.

  15. Moreno M. Surgical treatment of biliary lithiasis: where does the future lie? Rev Invest Clin 2001; 53: 11-12.

  16. Oñate-Ocaña LF, Mondragon-Sanchez RJ. Laparoscopic cholecystectomy at an oncologic center: a comparative analysis. Rev Gastroenterol Mex 1997; 62: 101-7.

  17. Mucio, M, Felemovicius J. The Mexican experience with laparoscopic cholecystectomy and common bile duct exploration. A multicentric trial. Surg Endosc 1994; 8: 306-9.

  18. Pérez Morales A, Roesch Dietlen F, Díaz Blanco F, Martínez Fernández S. Experiencia en colecistectomía laparoscópica en el tratamiento de la enfermedad litiásica biliar en el paciente anciano. Cir Gen 2000; 22: 35-40.

  19. Bernal Gómez R, Noyola Cedillo S, García Vázquez A, Carrillo Rodríguez E, Aguirre Soto R, Pérez Moreno Y et al. Cirugía laparoscópica en colecistitis aguda ¿Es una operación segura? Cir Gen 1996; 18: 308-12.

  20. Mijares Cruz G, Corona Bautista A, Toro Ibáñez M, García Salazar N. Colangiografía transoperatoria en cirugía laparoscópica. Cir Gen 2001; 23: 36-9.

  21. Secretaría de Salud. Seguro Popular. Reglas de operación 2002. www.ssa.gob.mx

  22. Glantz SA. Primer of biostatistics 4ta Ed. Win. USA: McGraw-Hill, 1996.

  23. Shea JA, Healey MJ, Berlin JA, Clarke JR, Malet PF, Staroscik RN et al. Mortality and complications associated with laparoscopic cholecystectomy: A meta-analysis. Ann Surg 1996; 224: 609-20.

  24. Lujan JA, Parrilla P, Robles R, Torralba JA, García Ayllon J, Liron R et al. Laparoscopic cholecystectomy in the treatment of acute cholecystitis. J Am Coll Surg 1995; 181: 75-7.

  25. Lo CM, Liu CL, Lai EC, Fan ST, Wong J. Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Ann Surg 1996; 223: 37-42.

  26. Go PM, Schol F, Gouma DJ. Laparoscopic cholecystectomy in the Netherlands. Br J Surg 1993; 80: 1180-3.

  27. Schlumpf R, Klotz HP, Wehrli H, Herzog U. A nation´s experience in laparoscopic cholecystectomy. Prospective multicenter analysis of 3722 cases. Surg Endosc 1994; 8: 35-41.

  28. Wherry DC, Charles GR, Marohn MR, Rich NM. An external audit of laparoscopic cholecystectomy performed in medical treatment facilities of the Department of Defense. Ann Surg 1994; 220: 626-34.

  29. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 1995; 180: 101-25.

  30. Sawyers JL. Current status of conventional (open) cholecystectomy versus laparoscopic cholecystectomy. Ann Surg 1996; 223: 1-3.

  31. MacFadyen Jr BV, Vecchio R, Ricardo AE, Mathis CR. Bile duct injury after laparoscopic cholecystectomy. The United States experience. Surg Endosc 1998; 12: 315-21.

  32. Philips PA, Amaral JF. Abdominal access complications in laparoscopic surgery. J Am Coll Surg 2001; 192: 525-36.

  33. Williams LF Jr, Champan WC, Bonau RA, McGee EC Jr, Boyd RW, Jacobs JK. Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center. Am J Surg 1993; 165: 459-65.

  34. Arregui ME, Davis CL, Arkush AM, Nagan RF. Laparoscopic cholecystectomy combined with endoscopic sphincterotomy and stone extraction or laparoscopic choledochoscopy and electrohydraulic lithotripsy for management of cholelithiasis and choledocholithiasis. Surg Endosc 1992; 6: 10-5.

  35. Allen B, Shapiro H, Way LW. Management of recurrent and residual common duct stones. Am J Surg 1981; 142: 41-7.

  36. Mulvihill SJ. Current issues in gallstone disease. American College of Surgeons: 87th Postgraduate course. Gastrointestinal disease 2001: 13-5.

  37. Traverso LW, Hargrave K, Kozarek RA. A cost effective approach to treatment of common bile duct stones with surgical versus endoscopic techniques, in Berci G, Cuschieri A (eds): Bile Ducts and Bile Ducts Stones. Philadelphia, Saunders, 1997: 154-160.

  38. Petelin JB. An algorithm for the treatment of common bile duct stones found during cholecystectomy. American College of Surgeons: 86th Postgraduate course. Diseases of the liver, biliary tract and pancreas 2000: 42-4.

  39. Marks JM. ERCP as an adjunct to laparoscopic cholecystectomy. American College of Surgeons: 84th Postgraduate course. Minimal access surgery. 1998: 7-9.

  40. Wetter LA, Way LW. Surgical therapy for gallstone disease. Gastroenterol Clin North Am 1991; 20; 157-69.

  41. Jatzko GR, Lisborg PH, Pertl AM, Stettner HM. Multivariate comparison of complications after laparoscopic cholecystectomy and open cholecystectomy. Ann Surg 1995; 221: 381-6.

>Journals >Cirujano General >Year 2002, Issue 4

· Journal Index 
· Links 

Copyright 2019