Laparoscopic cholecystectomy initial experience in Assiut University Hospital

ABSTRACT

The initial experience with laparoscopic cholecystectomy [LC] for symptomatic cholelithiasis and non-calculus cholecystitis has involved 60 selected patients, their ages ranged from 20 to 65 years with a mean of 39.8 years. Most patients [51 of 60] were females. Calculus cholecystitis represented 93.3% of indications. Selection of patients was done after exclusion of patients with upper abdominal scarring coagulopathies, morbid obesity, pregnancy, associated bile duct stones and those unfit for general anesthesia. Eight patients [13.33%] required conversion to open surgery, causes were difficult dissection due to marked adhesions and troublesome bleeding in other cases. In one of three patients with acute cholecystitis, LC was not possible due to edema and friability of gallbladder wall, beside marked adhesions. Operative time ranged from 60 to 180 minutes and averaged 97.7 minutes. Mean hospital stay time was 2.66 days. Most of patients were discharged in the second postoperative day. Complication rate was 6.6% major, 1.6% life threatening and 15% minor complications. Most of complications encountered in the work were met in the early cases of this series