Videolaparoscopic cholecystectomy: personal experience

Abstract

Aim: Laparoscopic cholecystecomy (l.G) is now the gold standard for the treatment of gallstones, In this report were analyzed 153 IX ' performed by it single surgical team and, according to results, elaborated any technical recommendation. Mai i riai s and mi thuds: 153 IX. has been performed in Section of General and Thoracic Surgery of University' of Palermo, Sicily, by a single surgical team, since 2000. Indications for LC were all forms of calculous cholecystitis (biliary colic in 73.2%, acute cholecystitis in 4.5%, gallbladder polyps in 5.8%) or colecystocoledochal Hthiasis (9.8%). The mean age of patients was I9.-/6 years (range 18-78) and 6 2.7%) were female. The patients were studied in our Section with hematochcmical routine, plane chest roentgram, EGG, abdominal ultrasound (the day before the operation) and ASA classification (ASA I: 9.8%, ASA II: 67.3%, ASA III: 22.9%). Ri.si rrs: AH cases (153) were uneventful in terms of either serious intraoperative complications or necessity in relapa- roscopy. In operatory room we adopted the Trench position, with mean operatory time of 65.03 minutes (range 30- 180 minutes) and we also used the Trench technique of exposure of the cystic pedicle. The grade of difficulty of IX.' was analysed according -i variables (approach to peritoneum, approach to gallbladder, pedicle dissection, cholecystectomy). There were 10 cases (6.5%)) of convertions in total. Subhepatic space drainage was performed in 60.1% of cases. No postoperative hi lama or subhepatic infiltration were observed. No port site infections were diagnosed, no port site hernias observed and no mortality observed. The mean postoperative bedstay was 2.21 days. C-onviimonn: IX' is the treatment of choice for symptomatic gallstone disease. When performed by experienced surgeons, it is safe and effective. Copyright © 2005 Edizioni Luigi Pozzi.