J Korean Surg Soc.  2009 Jun;76(6):364-370. 10.4174/jkss.2009.76.6.364.

A Clinical Analysis of about 2,000 Cases for the Laparoscopic Cholecystectomy: Single Center Experiences - A Change in the Indication for Laparoscopic Cholecystectomy according to Period

• An YJ
• Kim YH
• Jung GJ
• Kim SH
• Roh YH

• KMID: 1464952
• DOI: http://doi.org/10.4174/jkss.2009.76.6.364

Abstract

PURPOSE: Laparoscopic cholecystectomy has become the standard modality of acute and chronic gallbladder disease. This study was performed to evaluate a change in the indication for laparoscopic cholecystectomy according to period by analyzing our experiences.
METHODS
We retrospectively analyzed 2,096 cases of laparoscopic cholecystectomy that were treated at the Department of Surgery, Dong-A University. They were divided into 3 groups from October 1992 to December 1996 (Group 1), from January 1997 to December 2001 (Group 2) and from January 2002 to March 2007 (Group 3).
RESULTS
The mean age was 50.14+/-13.89 years and the male-to-female ratio was 1 : 1.23. Previous abdominal surgery was noted in 12.24% from Group 1, 14.96% from Group 2 and 21.48% from Group 3. Chronic cholecystitis was the most common pathologic diagnosis in all cases. However, while the incidence of acute cholecystitis and gallbladder empyema in Group 1 was 3.36% and 0%, that of Group 2 was 12.52% and 3.88% and that of Group 3 was 31.79% and 7.59%, which was increased. The mean operation time of each group was 101.00+/-51.00, 69.86+/-40.55, 78.01+/-45.55 minutes (P<0.05). The conversion rate of each group was nine cases (6.04%), 21 cases (3.02%), and 51 cases (4.07%). The surgical complication rate was 7.38%, 3.88% and 4.71%, respectively. The length of hospital stay was 6.08+/-3.65, 3.16+/-2.99 and 2.91+/-3.34 days, which was significantly decreased (P<0.05).
CONCLUSION
As surgical experience increased and laparoscopic surgical skills developed, the indication for laparoscopic cholecystectomy changed. The results of this study showed that laparoscopic cholecystectomy was feasible for the treatment of complicated gallbladder lesion.

Keyword

Laparoscopic cholecystectomy; Acute cholecystitis

MeSH Terms

Cholecystectomy, Laparoscopic
Cholecystitis
Cholecystitis, Acute
Gallbladder
Gallbladder Diseases
Incidence
Length of Stay
Retrospective Studies

Figure

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  Fig. 1 Laparoscopic cholecystectomy & open cholecystectomy incidences. Open cholecystectomy is decreased, but laparoscopic cholecystectomy incidence is on the increase, significantly.

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