An initial experience of laparoscopic cholecystectomy in 70 patients was with calcular
gallbladder disease reviewed. The procedure was completed in 63 cases (90%)
and converted to open operation in 7 patients (10%). The median duration was 105
minutes (ranged from 40-135 minutes). The duration of time was much shortened
with experience and better orientation about the laparoscopic field and even we could
deal better with difficult cases. The majority of patients required postoperative analgesia
for one day, oral feeding started 8 hours postoperatively while temporary ileus was
encountered in 3 patients (4.3%). Wound infection occurred in 6 patients (8.6%); only
one of them was severe, which consequently resulted later in incisional hernia. The
main advantages of this technique are the cosmetic aspects, minimal wound pain,
short hospital stay and the ability of patients to return to full activity within 10 days of
operation. Therefor, we concluded that laparoscopic cholecystectomy is an ideal procedure
for treating patients with chronic calcular gall bladder disease. |
