The wide acceptance of LC in the early 1990s was based on several case series rather than randomized controlled trials. Community awareness that a minimally invasive procedure could dramatically reduce postoperative pain and improve recuperation made it impractical to conduct trials that might have better refined the technique. This study was to recognize the actual complication risk associated with cholecystectomy. Included in the study were 1486 patients operated upon between Feb. 1999 and April. 2014. Open cholecystectomy done in 292 (19.6%) mostly in patients with contra-indications for laparoscopy, 1194 (80.4%) initiated laparoscopically, 1086[91%] completed laparoscopically and 108 (9%) converted to open procedure. There were eighteen (1.2%) patients with bile duct injury. One patient (0.3%) in the open procedure and seventeen (1.4%) in the laparoscopic procedure. Nine cases presented with intra-operative injury, two with early post operative jaundice, two with late post operative jaundice, five with post operative leak. The patients with recognized intra-operative injury were significantly not higher in the laparoscopic group of patients (P<0.3) than in the open procedure. The post operative jaundice was significantly high in the laparoscopic group of patients (P<0.045). The post operative leak was significantly higher in the laparoscopic group of patients than in the open procedure (P<0.028). In general post operative morbidity was high in the laparoscopic group of patients than in the open procedure (P<0.01). On the other hand, the post operative mortality were four times more in the open procedure and was statistically significant (P<0.04). Conclusion: The risk of complications after cholecystectomy was slightly higher than that found in literature; Laparoscopic cholecystectomy was associated with a higher incidence of CBD injuries, leak, jaundice and technical factors leading to failure to recognize injuries when they occur.
| Published in | Journal of Surgery (Volume 3, Issue 4) |
| DOI | 10.11648/j.js.20150304.12 |
| Page(s) | 39-43 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Cholecystectomy, Open, Laparoscopic, Complications
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APA Style
Mohamed Salah Abdelhamid, Ahmed Mohamed Sadat, Ayman Hamdi Abouleid, Amr Mohamed Aly Mohamed, Mahmoud Ahmed Negida. (2015). Injuries Presentations in Laparoscopic Versus Open Cholecystectomy. Journal of Surgery, 3(4), 39-43. https://doi.org/10.11648/j.js.20150304.12
ACS Style
Mohamed Salah Abdelhamid; Ahmed Mohamed Sadat; Ayman Hamdi Abouleid; Amr Mohamed Aly Mohamed; Mahmoud Ahmed Negida. Injuries Presentations in Laparoscopic Versus Open Cholecystectomy. J. Surg. 2015, 3(4), 39-43. doi: 10.11648/j.js.20150304.12
AMA Style
Mohamed Salah Abdelhamid, Ahmed Mohamed Sadat, Ayman Hamdi Abouleid, Amr Mohamed Aly Mohamed, Mahmoud Ahmed Negida. Injuries Presentations in Laparoscopic Versus Open Cholecystectomy. J Surg. 2015;3(4):39-43. doi: 10.11648/j.js.20150304.12
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Download@article{10.11648/j.js.20150304.12,
author = {Mohamed Salah Abdelhamid and Ahmed Mohamed Sadat and Ayman Hamdi Abouleid and Amr Mohamed Aly Mohamed and Mahmoud Ahmed Negida},
title = {Injuries Presentations in Laparoscopic Versus Open Cholecystectomy},
journal = {Journal of Surgery},
volume = {3},
number = {4},
pages = {39-43},
doi = {10.11648/j.js.20150304.12},
url = {https://doi.org/10.11648/j.js.20150304.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150304.12},
abstract = {The wide acceptance of LC in the early 1990s was based on several case series rather than randomized controlled trials. Community awareness that a minimally invasive procedure could dramatically reduce postoperative pain and improve recuperation made it impractical to conduct trials that might have better refined the technique. This study was to recognize the actual complication risk associated with cholecystectomy. Included in the study were 1486 patients operated upon between Feb. 1999 and April. 2014. Open cholecystectomy done in 292 (19.6%) mostly in patients with contra-indications for laparoscopy, 1194 (80.4%) initiated laparoscopically, 1086[91%] completed laparoscopically and 108 (9%) converted to open procedure. There were eighteen (1.2%) patients with bile duct injury. One patient (0.3%) in the open procedure and seventeen (1.4%) in the laparoscopic procedure. Nine cases presented with intra-operative injury, two with early post operative jaundice, two with late post operative jaundice, five with post operative leak. The patients with recognized intra-operative injury were significantly not higher in the laparoscopic group of patients (P<0.3) than in the open procedure. The post operative jaundice was significantly high in the laparoscopic group of patients (P<0.045). The post operative leak was significantly higher in the laparoscopic group of patients than in the open procedure (P<0.028). In general post operative morbidity was high in the laparoscopic group of patients than in the open procedure (P<0.01). On the other hand, the post operative mortality were four times more in the open procedure and was statistically significant (P<0.04). Conclusion: The risk of complications after cholecystectomy was slightly higher than that found in literature; Laparoscopic cholecystectomy was associated with a higher incidence of CBD injuries, leak, jaundice and technical factors leading to failure to recognize injuries when they occur.},
year = {2015}
}
TY - JOUR T1 - Injuries Presentations in Laparoscopic Versus Open Cholecystectomy AU - Mohamed Salah Abdelhamid AU - Ahmed Mohamed Sadat AU - Ayman Hamdi Abouleid AU - Amr Mohamed Aly Mohamed AU - Mahmoud Ahmed Negida Y1 - 2015/07/31 PY - 2015 N1 - https://doi.org/10.11648/j.js.20150304.12 DO - 10.11648/j.js.20150304.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 39 EP - 43 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20150304.12 AB - The wide acceptance of LC in the early 1990s was based on several case series rather than randomized controlled trials. Community awareness that a minimally invasive procedure could dramatically reduce postoperative pain and improve recuperation made it impractical to conduct trials that might have better refined the technique. This study was to recognize the actual complication risk associated with cholecystectomy. Included in the study were 1486 patients operated upon between Feb. 1999 and April. 2014. Open cholecystectomy done in 292 (19.6%) mostly in patients with contra-indications for laparoscopy, 1194 (80.4%) initiated laparoscopically, 1086[91%] completed laparoscopically and 108 (9%) converted to open procedure. There were eighteen (1.2%) patients with bile duct injury. One patient (0.3%) in the open procedure and seventeen (1.4%) in the laparoscopic procedure. Nine cases presented with intra-operative injury, two with early post operative jaundice, two with late post operative jaundice, five with post operative leak. The patients with recognized intra-operative injury were significantly not higher in the laparoscopic group of patients (P<0.3) than in the open procedure. The post operative jaundice was significantly high in the laparoscopic group of patients (P<0.045). The post operative leak was significantly higher in the laparoscopic group of patients than in the open procedure (P<0.028). In general post operative morbidity was high in the laparoscopic group of patients than in the open procedure (P<0.01). On the other hand, the post operative mortality were four times more in the open procedure and was statistically significant (P<0.04). Conclusion: The risk of complications after cholecystectomy was slightly higher than that found in literature; Laparoscopic cholecystectomy was associated with a higher incidence of CBD injuries, leak, jaundice and technical factors leading to failure to recognize injuries when they occur. VL - 3 IS - 4 ER -
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