Laparoscopic cholecystectomy.
Publication/Presentation Date
12-1-1990
Abstract
Laparoscopic cholecystectomy is a combined endoscopic-operative technique for removing the gallbladder. Patients with symptomatic gallstones are eligible for this procedure. Contraindications include pregnancy, acute cholangitis, advanced cholecystitis, acute pancreatitis, peritonitis, significant bleeding disorder, portal hypertension, and a prior major upper abdominal operation. The procedure does require experience and specialized training. It is guided by an endoscope, camera, and video monitor, and is performed through four cannulas. The gallbladder is dissected from the hepatic bed under observation on a monitor. The possible complications are bleeding, injury to the common bile duct, and technical problems, such as perforation of the gallbladder. The length of the hospital stay and the postoperative recovery time are markedly shortened compared with standard cholecystectomy. The procedure has an advantage over stone dissolution and biliary lithotripsy in that the gallbladder is removed, and additional or continued treatment is not necessary. This procedure offers sufficient advantages to the patient that it will likely become a standard for qualified abdominal surgeons.
Volume
70
Issue
6
First Page
1249
Last Page
1262
ISSN
0039-6109
Published In/Presented At
Gadacz, T. R., Talamini, M. A., Lillemoe, K. D., & Yeo, C. J. (1990). Laparoscopic cholecystectomy. The Surgical clinics of North America, 70(6), 1249–1262. https://doi.org/10.1016/s0039-6109(16)45282-5
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
2147301
Department(s)
Administration and Leadership
Document Type
Article