A prospective and observational single institution experience in laparoscopic cholecystectomy : the De La Salle University Medical Center Experience

Publication Date

2000

Document Type

Research

Abstract

A prospective analysis was performed on data collected during a 16-month period (January 2010 to May 2011) from 127 patients who underwent laparoscopic cholecystectomy. All of the surgeries were performed by consultants. The mean age was 44.7 (17-78) with whom 65.5% were females. Fifteen patients (13.6%) were operated in the acute setting. Three patients (2.7%) warranted an intraoperative cholangiogram while 5 (4.5%) underwent an Endoscopic Retrograde Cholangiopancreatography immediately prior to LC. The mean operating time was 89 (35-335 SD 41.75) minutes. One patient had cystic duct leak which was managed with a drain and post LC ERCP. Difficulty in dissection was experienced in one case hence conversion to open cholecystectomy occurred (0.9%). Postoperatively, 101 (91.8%) received 0.5% Bupivacaine subcutaneously through the incision sites. Average VAS score was noted to be 3.05, 2.60, 2.20 at 6, 12 and 24 hours respectively. The mean post operative stay after the procedure was 36.22 (10-189 SD +25.01) hours. No wound infection nor early incisional hernia was noted after 1 week of follow up.

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