A comparison of open and laparoscopic cholecystectomy done by a surgeon in training

Operative and Postoperative Complications of Laparoscopic Cholecystectomy: Experience from a Tertiary Care Hospital of Bangladesh

“…Laparoscopic cholecystectomy (LC) has virtually replaced conventional open cholecystectomy as the gold standard for symptomatic cholelithiasis and chronic cholecystitis 7,8 . The application of laparoscopic technique for cholecystectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals in our country.…”

“…The application of laparoscopic technique for cholecystectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals in our country. The laparoscopic approach brings numerous advantages at the expense of higher rate of procedure specific complications especially in training facilities 7 .…”

“…Prevalence is estimated between 10% and 30%. 5 In a retrospective study from Switzerland, only 1.4% of patients were with spillage of gallstones during laparoscopic cholecystectomy 7 .…”

“…Preoperative prophylactic injection Ceftriaxone 1 gm intravenously was given to all patients. Pneumoperitoneum was created by trocar technique 7 . Standard 4-ports entry procedure 7 was adopted with the exception of few cases who required additional port.…”

Rate of Complications and Conversions After Laparoscopic and Open Cholecystectomy

“…Since then, due to growing experience and development of specially adapted laparoscopic instruments the technique has improved immensely (1). In the case of intraabdominal adhesions, perforated gallbladder, untypical or uncertain anatomy, or when intraoperative complications occur and it's impossible to manage them laparoscopiacaly, open method is still indicated (2,3). However, laparoscopic cholecystectomy has revolutionized our approach to a number of problems and caused a reevaluation of clinical strategies.…”