Abstract
Laparoscopic cholecystectomy is a safe and effective treatment of cholelithiasis in experienced hands. Mortality is rare. The Southern Surgeons Club data and several other recent large series indicate that major complications occur in less than 3% of patients. The most significant common complication is injury to the bile duct, for which the greatest risk factor is inexperience. Major biliary injury usually requires reoperation. Roux-en-Y hepaticojejunostomies, often multiple, are usually necessary for repair. The popularity of this technique continues, and further efforts should be focused on elimination of the learning curve for major biliary injury. If injuries do occur, they should be recognized early, and patients should be referred to centers experienced in their treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 527-532 |
| Number of pages | 6 |
| Journal | The American Journal of Surgery |
| Volume | 165 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jan 1 1993 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Complications of laparoscopic cholecystectomy. / Lee, Vivian S.; Chari, Ravi S.; Cucchiaro, Giovanni; Meyers, William C.
In: The American Journal of Surgery, Vol. 165, No. 4, 01.01.1993, p. 527-532.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Complications of laparoscopic cholecystectomy
AU - Lee, Vivian S.
AU - Chari, Ravi S.
AU - Cucchiaro, Giovanni
AU - Meyers, William C.
PY - 1993/1/1
Y1 - 1993/1/1
N2 - Laparoscopic cholecystectomy is a safe and effective treatment of cholelithiasis in experienced hands. Mortality is rare. The Southern Surgeons Club data and several other recent large series indicate that major complications occur in less than 3% of patients. The most significant common complication is injury to the bile duct, for which the greatest risk factor is inexperience. Major biliary injury usually requires reoperation. Roux-en-Y hepaticojejunostomies, often multiple, are usually necessary for repair. The popularity of this technique continues, and further efforts should be focused on elimination of the learning curve for major biliary injury. If injuries do occur, they should be recognized early, and patients should be referred to centers experienced in their treatment.
AB - Laparoscopic cholecystectomy is a safe and effective treatment of cholelithiasis in experienced hands. Mortality is rare. The Southern Surgeons Club data and several other recent large series indicate that major complications occur in less than 3% of patients. The most significant common complication is injury to the bile duct, for which the greatest risk factor is inexperience. Major biliary injury usually requires reoperation. Roux-en-Y hepaticojejunostomies, often multiple, are usually necessary for repair. The popularity of this technique continues, and further efforts should be focused on elimination of the learning curve for major biliary injury. If injuries do occur, they should be recognized early, and patients should be referred to centers experienced in their treatment.
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UR - http://www.scopus.com/inward/citedby.url?scp=0027170233&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(05)80955-9
DO - 10.1016/S0002-9610(05)80955-9
M3 - Article
C2 - 8480896
AN - SCOPUS:0027170233
VL - 165
SP - 527
EP - 532
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -