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Title: Laparoscopic cholecystectomy: initial experience.
Austin Authors: Jones, Robert M ;Fletcher, D R;MacLellan, D G;Lowe, A W;Hardy, Kenneth John
Affiliation: University Department of Surgery, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Apr-1991
Publication information: Australian and New Zealand Journal of Surgery; 61(4): 261-6
Abstract: Twenty-five consecutive patients underwent percutaneous laparoscopic cholecystectomy (PCC). The gallbladder was removed successfully in 18 patients. The mean postoperative hospital stay was 1.4 days and patients returned to normal activity at a mean 8 days after operation. Postoperative pain was minimal. Formal laparotomy was performed in 7 patients due to: bleeding (3 patients), stone spillage (3 patients) and exploration of the common bile duct (1 patient). Complications were reduced with experience and strict adherence to the described operative technique. With obvious advantages for the patient, hospitals and the community an increased demand for PCC is inevitable. However, its role in the management of cholelithiasis and overall safety have yet to be determined. There is a significant learning curve and proper training is necessary. The widespread introduction of PCC has immediate implications for surgical training.
Gov't Doc #: 1826830
Journal: Australian and New Zealand Journal of Surgery
Type: Journal Article
Subjects: Adolescent
Length of Stay
Middle Aged
Pain, Postoperative.prevention & control
Time Factors
Appears in Collections:Journal articles

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