BACKGROUND Health care providers need solid evidence based data on cost differences between alternative surgical procedures for common surgical disorders. We aimed to compare small-incision open cholecystectomy (SIOC) and laparoscopic cholecystectomy (LC) concerning costs and health-related quality of life using data from an expertise-based randomised controlled trial. METHODS Patients schedu...

Introduction: Laparoscopic cholecystectomy (LC) is usually performed under general anesthesia. Recently, laparoscopic cholecystectomy under regional anesthesia has become popular, but this creates a serious risk of thromboembolism because of pneumoperitoneum, anesthesia technique, operative positioning, and patient-specific risk factors. Aim: This randomized controlled trial compares the effect...

This study compared virtual reality (VR) training with low cost-blended learning (BL) in a structured training program.Training of laparoscopic skills outside the operating room is mandatory to reduce operative times and risks.Laparoscopy-naïve medical students were randomized in 2 groups stratified for sex. The BL group (n = 42) used E-learning for laparoscopic cholecystectomy (LC) and practic...

OBJECTIVE To compare success rate, length of hospital stay, clinical results, and costs of sequential treatment (endoscopic retrograde cholangiopancreatography followed by laparoscopic cholecystectomy) versus the laparoendoscopic Rendezvous in patients with cholecysto-choledocholithiasis. BACKGROUND The ideal management of common bile duct (CBD) stones in the era of laparoscopic cholecystecto...

BACKGROUND AND AIM Laparoscopic cholecystectomy (LC) is increasingly being used as the initial surgical approach in patients with acute cholecystitis (AC). We describe our experience with LC in the treatment of AC. MATERIALS AND METHODS In this study 2 412 patients underwent LC, in 315 cases for AC. The diagnosis was based on clinical, laboratory and intra-operative findings. Rates of convers...

Clip migration into the common bile duct (CBD) is a rare but well-established phenomenon of laparoscopic biliary surgery. The mechanism and exact incidence of clip migration are both poorly understood. Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. We present a case, a 54-year-old woman, of clip-induced cholangitis resulting fr...

BACKGROUND Retrograde ("fundus first") dissection is frequently used in open cholecystectomy and although feasible in laparoscopic cholecystectomy (LC) it has not been widely practiced. LC is most simply carried out using antegrade dissection with a grasper to provide cephalad fundic traction. A series is presented to investigate the place of retrograde dissection in the hands of an experienced...

Laparoscopic cholecystectomy is considered the gold standard surgical intervention for the treatment of symptomatic gallstones. Gallbladder perforation (1040%) and stone spillage (6-30%) are the two complications encountered most often during the dissection and removal of the gallbladder in LC. Gallstone spillage was initially considered to be a benign event with no serious squeal. However, the...

Abstract Background Gallstone disease is common and affects approximately 10-15% of adults. Laparoscopic Cholecystectomy (LC) the definitive management cholecystitis. NICE RCS guidance recommend that in patients diagnosed with acute cholecystitis a LC should be performed during same admission or within 7 days. We audited our compliance against these national guidelines. Methods Retrospective au...

HYPOTHESIS There is regional variation in the use of laparoscopic cholecystectomy (LC) for acute cholecystitis in the New England (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, and Connecticut) Medicare population. DESIGN Population-based, cross-sectional study. SETTING Hospital service areas (HSAs), small geographic areas reflecting local hospital markets, in New England. P...