Complications of Laparoscopic Cholecystectomy: Our Experience in a District General Hospital

Triantafyllidis, Ioannis; Nikoloudis, Nikolaos; Sapidis, Nikolaos; Chrissidou, Maria; Kalaitsidou, I; Chrissidis, Thomas

doi:10.1097/sle.0b013e3181bd8f6d

Cited by 23 publications

(15 citation statements)

References 63 publications

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“…Both outpatient and inpatient LCs can be performed with few complications [17][18][19]. The most common are bile leakage, bleeding, and abscess [20][21][22][23]. Bile duct injury in elective laparoscopic cholecystectomy is a rare complication (0.2%) and the one injury in the Sundsvall material (the only one in their overall series according to cumulative data) is noted but deemed insufficient to base further conclusions on.…”

Section: Discussionmentioning

confidence: 99%

The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals

Odelberg

Cengiz

Jänes

et al. 2019

Journal of Investigative Surgery

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Introduction: Laparoscopic cholecystectomy (LC) is a commonly performed surgical procedure with a low complication rate. It is performed either as an acute or as an elective procedure. Most elective LCs are performed on nonlethal diseases and this is why good quality is important. Our study compared the quality of LC in two surgical units in northern Sweden (Sundsvall and € Ostersund) which use different clinical structures (subspecialised vs. general surgery) and surgical techniques (ultrasound fundus first vs. conventional diathermy). The study aimed to investigate whether these differences affected the quality of outcomes after LC. Materials and methods: This is a registry-based study which included 607 elective LCs from January 2014 to May 2016. There were 286 from Sundsvall and 321 from € Ostersund. Primary outcomes were operative time and the percentage of day surgeries. The secondary outcome was the presence of postoperative complications within the first 30 days in terms of bile duct injury, bleeding that necessitated reoperation, bile leakage and abscesses treated with drainage and mortality. Results: The time length of surgery was shorter in Sundsvall (mean 48.3 min) compared to € Ostersund (mean 108.6 min, p < 0.001. The percentage of day care surgeries was 94% in Sundsvall and 23% in € Ostersund, p < 0.001. Six patients (2.1%) had a complication in Sundsvall compared to seven patients (2.2%) in € Ostersund, p ¼ 1.00. Conclusion: There is a significant difference between the two hospitals regarding operative time and the percentage of day surgeries. Complication rates in both units were equal and low.

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Section: Discussionmentioning

confidence: 99%

The Impact of a Surgical Unit’s Structure and Operative Technique on Quality in Two Swedish Rural Hospitals

Odelberg

Cengiz

Jänes

et al. 2019

Journal of Investigative Surgery

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“…Most published studies have focused on the risks factors that lead to LC complications, especially conversion to open surgery (1,6,(14)(15)(16)(17)(18)(19)(20). However, the most important reason to evaluate risk factors is to provide accurate information, as well as improved informed consent, to patients who wish for earlier return to normal activity without any disability.…”

Section: Discussionmentioning

confidence: 99%

Predicting prolonged hospital stay after laparoscopic cholecystectomy

Morimoto

Mizuno

Akamaru

et al. 2015

Asian J Endoscop Surgery

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“…17 Incidence of port site infection in our study was 3.92% which was less than some studies [18][19][20][21][22] & more than some other studies. 7,[23][24][25] .Population , sterilization technique & environmental factors may be responsible for the difference among these studies. 26 Age, sex & body weight have no impact on the rate PSIs as it was shown in other study.…”

Section: Discussionmentioning

confidence: 99%