LAPAROSCOPIC CHOLECYSTECTOMY

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Abstract
A consecutive series of 220 laparoscopic cholecystectomies (June 1990 to May 1991) is presented. These were the author's initial experience of the technique. Procedures were elective (205) and acute (15). including 3 gangrenous cholecystitis and 4 empyema. There were 166 females and 34 males, 12–75 years, weighing 44–115 kg. Forty‐eight patients had prior abdominal surgery. Two hundred and eleven patients had successful laparoscopic cholecystectomies, 6 open cholecystectomies and 3 mini laparotomies to remove spilt stones. None of the last 120 cases were opened. Operating time ranged from 20min to 3h 20min. There were 4 serious complications: 2 bile leaks from the gall‐bladder bed and 2 jejunal injuries (Veres needle and 5 mm trocar). Sixty‐one patients were discharged the next day, 29 on day 2, 5 on day 3, 4 on day 4, 1 on day 5, I on day 22 and I on day 27. At two weeks follow‐up all but 2 patients had fully recovered.

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