Labaroscopic Cholecystectomy: An Evaluation Study
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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.