Open Cholecystectomy A Contemporary Analysis of 42,474 Patients

Abstract

These data indicate that open cholecystectomy currently is a very safe, effective treatment for cholelithiasis and is being performed with near zero mortality. The ultimate role of laparoscopic cholecystectomy needs to be defined in the context of current and contemporary data regarding open cholecystectomy.

Predictors of outcome after reconstructive hepaticojejunostomy for post cholecystectomy bile duct injuries

“…4,5 Series reporting long term results after BDI repair following open cholecystectomy have shown similar results to those after laparoscopic cholecystectomy. [6][7][8][9] We did not observe any effect of cholecystectomy technique affecting outcome in this study.…”

Asymptomatic Gallstones (AsGS) – To Treat or Not to?

“…Large studies with no or extremely low mortality were commonly reported. Roslyn et al [53] in a large population-based study of 42,474 patients, reported an extremely low mortality (overall -0.17%, 0.03% in patients <65 year and 0.5% in patients >65 years). The rate of BDI was as low as 0.2%.…”

Biliary tract injuries after lap cholecystectomy—types, surgical intervention and timing

“…Biliary leakages are considered an early complication and biliary strictures are a late complication. It is observed that the rate of clinically-relevant bile leaks after conventional open cholecystectomy ranges was between 0.1% and 0.5% (1)(2)(3). Biliary leakages have increased after the development of laparoscopic cholecystectomy (LC) by up to 3% (4)(5)(6)(7).…”