Laparoscopic cholecystectomy in patients with previous upper abdominal surgery

Abstract

Background: Surgical outcome of laparoscopic cholecystectomy (LC) in cases with history of upper abdominal surgery is not well investigated. Thus, we aimed to investigate the outcome of LC in patients with the history in this study. Patients and Methods: A total of 48 patients with history of upper abdominal surgery undergoing LC in our hospital were enrolled in this study. Surgical outcome of LC in the patients were investigated. Results: The history of the upper abdominal surgery was as follows; gastrectomy in 33 cases, colectomy in 3, and surgery for liver injury in 3. LC was indicated for gallbladder stone in 39 cases, acute cholecystitis in 6, and gallbladder polyp in 3. Eight cases (16.7%) required conversion from LC to open cholecystectomy due to dense adherence. Mean intraoperative blood loss was 41ml and operation time was 111 min. Postoperative complications greater than III of Clavien-Dindo classification developed in 2 cases (4.2%). Average duration postoperative hospital stay was 6 days. Conclusion: This study clarified surgical outcome of LC in patients with history of upper abdominal surgery. While the outcome seems favorable, further studies would be required to determine whether LC is better than open cholecystectomy in the patients.