Tando
Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Choice and results of surgical approach for cholecystectomy
Nobuhiro SHIBATA
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JOURNAL FREE ACCESS

1993 Volume 7 Issue 2 Pages 128-132

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Abstract
The criticism of standrd cholecystectomy (SC) are a large scar and the long duration of recovery. But, there can be overcome by laparoscopic cholecystectomy (LC) or mini-cholecystectomy (MC). We present an experience with these techiniques. From February 1991 to August 1992, there were 67 patients who were underwent cholecystecsomy. Twenty-one patients (31.3%)underwent SC and 20 patients (29.9%) had MC and 26 patients (38.8%) had LC. However, in cases of 20 patients from April 1992 to August 1992, who were examined by laparoscopy and made choice of surgical approach for cholecystectomy. As a result,14 patients (70.0%) underwent LC. Rate of conversion to open cholecystectomy from LC was 16 percent and to SC from MC was 5 percent. There were no serious complicatons in either group of MC and LC. The newer operative techniques of LC and MC have the advantages of less postoperative pain, shorter convalescence and greater acceptability to the patient than SC. The results of our current experience confirm the safety and efficacy of less invasive cholecystectomy.
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© Japan Biliary Association
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