Abstract:
OBJECTIVE:To assess the outcome of the first 400 laparoscopic cholecystectomies (LC) in Akureyri Central Hospital (FSA), Iceland. METHODS:We carried out a prospective study of LCs performed between July 1992 and February 2001. Primary endpoints were complication- and conversion rate, hospital stay and duration of convalescence. RESULTS:A total of 426 operations were performed in the period. In 26 cases it was decided beforehand to perform an open cholecystectomy (OC). A LC was begun on 400 patients. Indication for operation was acute cholecystitis in 41 cases (10,3%) and an elective LC was performed in 359 (89,7%) cases. Conversion to OC was required in sixteen (4%) cases with a conversion rate in acutely performed LCs of 12,2% versus 3,1% in elective LCs. Mean hospital stay after LC was 3,6 days (1-45) versus 12,3 days (4-31) after OC. Mean operation time was 89 minutes (45-270) in the first 100 LCs versus 75 minutes (30-180) in the last 100 LCs. Duration of convalescence of patients undergoing LC was 13,5 days (4-70). Complication rate in LCs was 10% (40/400). Four patients required a reoperation. CONCLUSIONS:Our results show that LC is a safe procedure in FSA. Conversion rate to OC, complication rate and duration of convalescence stands good comparison to other studies.
journal_name
Laeknabladidjournal_title
Laeknabladidauthors
Arnarson A,Hauksson H,Marteinsson VT,Albertsson SM,Datye Ssubject
Has Abstractpub_date
2003-01-01 00:00:00pages
35-40issue
1eissn
0023-7213issn
1670-4959journal_volume
89pub_type
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