PMID: 9161824Apr 1, 1997Paper

Complications of laparoscopic cholecystectomy in Hungary: a multicentre study of 13,833 patients

The European Journal of Surgery = Acta Chirurgica
M IhászG Pósfai

Abstract

To report our countrywide experience of laparoscopic cholecystectomy with particular reference to complications. National multicentre retrospective study. 71 university departments and public hospitals in Hungary. 13,833 patients operated on between 1 January 1990 and 31 December 1993. Follow up by questionnaire. 732 patients (5.3%) required conversion to open cholecystectomy, urgently because of intraoperative complications in 204 (1.5%), electively for acute or chronic inflammation or obscure anatomy in 441 (3.2%), for unexpected findings in 72 (0.5%) and for technical problems in 15 (0.1%). There were postoperative complications in 598 (4.3%) but reoperation was indicated in only 154 patients (1.1%). There were bile duct injury in 81 (0.6%) and 199 bleeds (1.4%) which required conversion in 102 patients (0.7%) and reoperation in 38 (0.3%). 36 of the 181 postoperative recognized bile leaks required reoperation (20%). 19 patients died (0.1%). The morbidity and the mortality of laparoscopic cholecystectomy are better than after the open operation. The 2-6 times higher risk of bile duct injury mentioned in early studies was not confirmed.

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