CONTEXT Laparoscopic cholecystectomy has become the most widely used treatment for gallbladder disease. In HMO, Medicare, and fee-for-service settings, cholecystectomy rates increased 28% to 59% after introduction of laparoscopic cholecystectomy. OBJECTIVE To investigate the impact of the introduction of laparoscopic cholecystectomy on cholecystectomy rates and the operative mortality rate in...

Spillage of gallstones in the peritoneal cavity during laparoscopic cholecystectomy (LC) occurs at rates varying from 5.7% to 16%. These gallstones often cannot be retrieved and can cause early and late abscesses at rates ranging from 0.08% to 1.4%. The case of an 86-year-old woman with colon cancer is described because during an elective right hemicolectomy a granuloma of the omentum with reta...

BACKGROUND Previous studies examined the effect of laparoscopic cholecystectomy (LC) versus open cholecystectomy (OC) on physiological variables of the respiratory system. In this study we compared changes in arterial blood gases-related parameters between LC and OC to assess their comparative influence on gas exchange. METHODS We studied 28 patients, operated under identical anesthetic proto...

OBJECTIVE To compare outcome parameters for good-risk patients with classic signs, symptoms, and laboratory and abdominal imaging features of cholecystolithiasis and choledocholithiasis randomized to either laparoscopic cholecystectomy plus laparoscopic common bile duct exploration (LC+LCBDE) or endoscopic retrograde cholangiopancreatography sphincterotomy plus laparoscopic cholecystectomy (ERC...

background port site complications following elective surgery are rare and port site infections remain the most common short long term complications. objectives the study was conducted to analyze port site complications occurring in patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis. patients and methods ninety patients undergoing laparoscopic cholecystectomy were r...

results the complete response was observed in 62.2, 68.2 and 89.6 percent of o, d, and od groups, respectively. the frequency of complete response was significantly lower in od-group (p = 0.011 vs. the d and p = 0.005 vs. the o group). the need for the antiemetic drug in groups o, d, and od was 28.3, 22.8, and 6.2, respectively. the incidence of vomiting and failure in prophylaxis was observed ...

background postoperative pain is considered as a reason of patient’s delay in discharge and disability aggravation. therefore, multimodal approaches have been suggested in order to mitigate pain and decrease postoperative side effects. objectives the aim of this study was to evaluate analgesic effect of a single dose injection of dexamethasone on reducing postoperative pain in laparoscopic chol...

OBJECTIVE To compare the results and outcomes of the laparoscopic cholecystectomy (LC) with the small incision cholecystectomy (SIC). STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Baqiyatallah Hospital, Tehran, Iran, from February 2008 to March 2009. METHODOLOGY Patients with symptomatic gallstones that were referred and enrolled in the study for LC or SIC. Operation, anae...

HYPOTHESIS There is wide variation in the use of laparoscopic cholecystectomy (LC) for acute cholecystitis among all public hospitals in Hong Kong. The objective of this study was to determine the factors responsible for the use of LC for acute cholecystitis in a stable population. DESIGN A retrospective survey on 2353 patients with pathologically proven acute cholecystitis treated with chole...