Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/9592
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dc.contributor.authorFletcher, D R-
dc.contributor.authorJones, Robert M-
dc.contributor.authorO'Riordan, B-
dc.contributor.authorHardy, Kenneth John-
dc.date.accessioned2015-05-15T22:44:51Z
dc.date.available2015-05-15T22:44:51Z
dc.date.issued1992-07-08-
dc.identifier.citationSurgical Endoscopy; 6(4): 179-82en_US
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/9592en
dc.description.abstractAfter performing selectively 25 laparoscopic cholecystectomies (LC) to determine the place of LC in the management of complicated gallstones, all patients presenting with gallstones were evaluated by the authors for LC. Eighty-six consecutive patients were evaluated and 84 were studied. Follow-up in every case exceeded 6 months. In three of 10 patients with acute cholecystitis, LC was not possible; each had a history longer than 48 h and all had gangrene of the gallbladder. In four patients with empyema, LC was successful, but operative cholangiography failed. Operative cholangiography was successful in 76 of the remaining 77. Of eight patients suspected of having stones in the CBD, cholangiography excluded stones in six and confirmed them in two. Cholangiography identified three other patients with totally unsuspected CBD stones. Of the five patients with CBD stones, four had them flushed to the duodenum at LC following transcystic balloon dilatation of the papilla and one had a post-op. ERCP. Of four patients with acute pancreatitis, three had LC in the same admission. LC was possible in all three patients with morbid obesity. We conclude that with experience, LC is possible for complicated gallstones. In acute cholecystitis, the probability of success is higher with earlier operative intervention. Operative cholangiography is essential. It not only identifies unsuspected CBD stones but also allows LC without ERCP in those with suspected CBD stones and with modification it allows treatment of those stones.en_US
dc.language.isoenen
dc.subject.otherAcute Diseaseen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherCholangiographyen
dc.subject.otherCholecystectomy.methodsen
dc.subject.otherCholecystitis.surgeryen
dc.subject.otherCholelithiasis.complications.radiography.surgeryen
dc.subject.otherGallstones.surgeryen
dc.subject.otherHumansen
dc.subject.otherLaparoscopyen
dc.subject.otherMiddle Ageden
dc.subject.otherPancreatitis.complicationsen
dc.subject.otherProspective Studiesen
dc.titleLaparoscopic cholecystectomy for complicated gallstone disease.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleSurgical Endoscopyen_US
dc.identifier.affiliationSurgeryen_US
dc.description.pages179-82en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/1387734en
dc.type.contentTexten_US
dc.type.austinJournal Articleen
local.name.researcherJones, Robert M
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptGastroenterology and Hepatology-
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