Introduction of laparoscopic cholecystectomy in a large teaching hospital: independent audit of the first 3 years

R. J. C. Steele, K. Marshall, M. Lang, J. Doran

    Research output: Contribution to journalArticle

    27 Citations (Scopus)

    Abstract

    Commencing with the introduction of laparoscopic cholecystectomy, a detailed independent prospective audit of all cholecystectomies attributable to 12 general consultant surgeons has been carried out over a period of 3 years. Of 650 operations 502 were intended laparoscopic cholecystectomies. In the first year 58 per cent were intended laparoscopic cholecystectomies; this rose to 80 per cent in the second year and to 90 per cent in the third. The conversion rate was 21 per cent in the first year, 21 per cent in the second and 15 per cent in the third. The mean operating time for laparoscopic cholecystectomy was 133 min for year 1, 123 min for year 2 and 115 min for year 3, compared with 92, 101 and 95 min respectively for open cholecystectomy. The overall complication rate was 10 per cent for laparoscopic and 21 per cent for open cholecystectomy. This included six bile duct injuries (1.2 per cent) in the patients undergoing the laparoscopic procedure and one (0.7 per cent) in those having open cholecystectomy. This unselected audit of a group of general surgeons introducing laparoscopic cholecystectomy into their practice has revealed complication and conversion rates that are higher than those reported in most of the published literature, but may be representative of practice throughout the UK.
    Original languageEnglish
    Pages (from-to)968-971
    Number of pages4
    JournalBritish Journal of Surgery
    Volume82
    Issue number7
    DOIs
    Publication statusPublished - 1995

    Keywords

    • Cholangiopancreatography, Endoscopic Retrograde
    • Cholecystectomy, Laparoscopic
    • England
    • Female
    • Hospitals, Teaching
    • Humans
    • Length of Stay
    • Male
    • Medical Audit
    • Middle Aged
    • Prospective Studies
    • Time Factors

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