Surgical advance on the general surgical department as minimal access procedure was changed into the laparoscopic cholecystectomy from open cholecystectomy for treatment of cholelithiasis. Laparoscopic cholecystectomy is far less invasive, less
painful,
less expensive, less complicative, high cosmetic and high conservative procedure and reduced hospitalization than open surgery.
The retrospective study of 176 patients undergoing laparoscopic cholecystectomy during 16months from September 1991 through December 1992 was conducted. We evaluated the diagnostic tools. Previous operation history, associated disorders,
operation
time,
postoperative condition, hospitalization days, gallbladder pathology, conversion rare to open cholecystectomy and complications.
@ES The results were as follows:
@EN 1) Of 176 patients who were taken the laparoscopic cholecystectomy, patients' age ranged from 14 to 87 years and female patient were 119 cases(67.8%) and symptomatic cases were 114 cases(65%).
2) Diagnostic tools were abdominal sonogram(100%) in all cases and oral cholecystogram 88 cases(88%), retrograde cholangiopancreaticography 62 cases(38%) and HIDA or abdominal computerized tomography in 4 cases(2%).
3) The most common previous operation history was OB& GY surgery.
4) The common associated disorders were the heart diseases(26.7%), COPD and diabetes5) Of the 176 gallbladder pathology, 165 cases(93.8%) were contained cholelithiasis, chronic cholecystitis in 139 cases(84.3%), acute cholecystitis in 26 cases(15.7%), GB polyp in 8 cases (4.5%) and cancer in 3 cases(1.7%).
6) Ten cases of the 176 laparoscopic cholecystectomy(5.7%) were required conversion to open cholecystectomy. And average operation time was 65 minutes, total success rate was 94.3%, and there was no death.
7) The complication rate was 6.3%, and wound pain, prolonged ileus and bleeding were noted in decreasing order of frequency.
8) The average postoperative stay was 3.2 days.
In conclusion, laparoscopic cholecystectomy which was taken for the symptomatic cholelithiasis will be offered as the most effective therapeutic modality.
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