Comparison of laparoscopic cholecystectomy with open cholecystectomy in a single center

Williams, Lester F.; Chapman, William C.; Bonau, Roger A.; McGee, Edwin C.; Boyd, Russell W.; Jacobs, J. Kenneth

doi:10.1016/s0002-9610(05)80941-9

Cited by 111 publications

(59 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6,7 Although cardiopulmonary complications after open RYGBP are rare, they are an important contributor to major complications and death. 30 Further, patients with obesity-related respiratory dysfunction have a fivefold increase in perioperative death after open RYGBP.…”

Section: Discussionmentioning

confidence: 99%

Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity

et al. 2000

View full text Add to dashboard Cite

ObjectiveTo evaluate the short-term outcomes for laparoscopic Rouxen-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months. Summary Background DataThe Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic approach has significant potential to reduce perioperative complications and recovery time. MethodsConsecutive patients (n ϭ 275) who met NIH criteria for bariatric surgery were offered laparoscopic Roux-en-Y gastric bypass between July 1997 and March 2000. A 15-mL gastric pouch and a 75-cm Roux limb (150 cm for superobese) was created using five or six trocar incisions. ResultsThe conversion rate to open gastric bypass was 1%. The start of an oral diet began a mean of 1.58 days after surgery, with a median hospital stay of 2 days and return to work at 21 days. The incidence of early major and minor complications was 3.3% and 27%, respectively. One death occurred related to a pulmonary embolus (0.4%). The hernia rate was 0.7%, and wound infections requiring outpatient drainage only were uncommon (5%). Excess weight loss at 24 and 30 months was 83% and 77%, respectively. In patients with more than 1 year of follow-up, most of the comorbidities were improved or resolved, and 95% reported significant improvement in quality of life. ConclusionLaparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications.Roux-en-Y gastric bypass (RYGBP) has been shown to produce significant weight loss in patients with clinically severe obesity: most studies report a weight loss of 60% to 70% of excess body weight.

show abstract

Section: Discussionmentioning

confidence: 99%

Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity

et al. 2000

View full text Add to dashboard Cite

show abstract

“…One of the most important problems known to be associated with LC is the high rate of bile duct injury compared to open cholecystectomy. In previously published series, the incidence of biliary tract injury has ranged from 0.1% to 2% during LC (10,(18)(19)(20)(21)(22) and from 0% to 0.7% during open cholecystectomy (23,24). It is now widely accepted that the inflammatory status of the gallbladder or the presence of stone migration are risk factors for complications (1).…”

Section: Mostmentioning

confidence: 99%

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

AKOGLU¹,

ERCAN²,

BOSTANCI³

et al. 2010

Turk J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…One of the most important problems known to be associated with LC is the high rate of bile duct injury compared to open cholecystectomy. In previously published series, the incidence of biliary tract injury has ranged from 0.1% to 2% during LC (10,(18)(19)(20)(21)(22) and from 0% to 0.7% during open cholecystectomy (23,24). It is now widely accepted that the inflammatory status of the gallbladder and the presence of stone migration are risk factors for complications (1).…”

Section: Discussionmentioning

confidence: 99%