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Title: The morbidity of surgical access: a study of open versus laparoscopic cholecystectomy.
Austin Authors: Farrow, H C;Fletcher, D R;Jones, Robert M 
Affiliation: University Department of Surgery, Austin Hospital, Heidelberg, Victoria, Australia
Issue Date: 1-Dec-1993
Publication information: Australian and New Zealand Journal of Surgery; 63(12): 952-4
Abstract: A prospective non-randomized study of 37 adult patients undergoing open cholecystectomy and 40 patients undergoing laparoscopic cholecystectomy was undertaken to test the hypothesis that surgical access alone has a significant impact on postoperative morbidity. Specifically the study examined the deterioration of pulmonary function, development of pulmonary complications, postoperative narcotic requirement and total bed stay as markers of postoperative morbidity. The results showed that significantly less deterioration of pulmonary function occurred in patients treated using the laparoscopic approach. In this group there was also significantly less requirement for postoperative narcotics, less consequent development of pulmonary complications and a shorter bed stay in hospital. The study documents the substantial impact of surgical access on postoperative morbidity and highlights the benefits of the laparoscopic 'minimal access' approach.
Gov't Doc #: 8285908
Type: Journal Article
Subjects: Adult
Cholecystectomy.statistics & numerical data
Cholecystectomy, Laparoscopic.statistics & numerical data
Evaluation Studies as Topic
Lung Diseases.epidemiology.etiology
Postoperative Complications.epidemiology.etiology
Prospective Studies
Respiratory Function Tests.statistics & numerical data
Appears in Collections:Journal articles

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