[The results of laparoscopic treatment of the gallbladder lithiasis. About 500 cases]

Tunis Med. 2007 Jan;85(1):20-4.
[Article in French]

Abstract

Background: Laparoscopic cholecystectomy is at present the gold standard treatment of gallbladder lithiasis.

Aim: Assesment of Laparoscopic cholecystectomy

Methods: Through a retrospective series of 500 laparoscopic cholecystectomies during a period going from January 1996 to March 2000, we tried to evaluate our experience by comparing our results to the literature data.

Results: There were 420 women and 80 men with a sex ratio of 0.19. Average age was 50 years. 16.2% of our patients were obese. 13 patients had a history of respiratory disease and 122 history of a cardiovascular pathology essentially arterial hypertension. All our patients benefited from at least one hepato-biliary ultrasound examination before the intervention. Antibioprophylaxy was administrated in 93.8% of cases. In 23 cases (4.6%), a conversion was necessary for different causes. We noted 11 surgical complications (2.2%) among which 2 required a surgical resumption, and 11 medical complications dominated by broncho-pulmonary infections. We had no death.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Antibiotic Prophylaxis
  • Child
  • Cholecystectomy, Laparoscopic*
  • Female
  • Gallstones / diagnostic imaging
  • Gallstones / surgery*
  • Humans
  • Intraoperative Complications
  • Male
  • Middle Aged
  • Postoperative Complications
  • Reoperation
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Ultrasonography