Prospective study of open cholecystectomy for calculous biliary disease

✍ Scribed by J. Moreaux

• Publisher: John Wiley and Sons
• Year: 1994
• Tongue: English
• Weight: 433 KB
• Volume: 81
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800810142

✦ Synopsis

Data of SO00 consecutive patients with biliary lithiasis operated on between 1970 and 1990 were recorded prospectively. There were 476 emergency procedures and 125 reoperations. Concomitant abdominal operations were performed in 504 patients. The mean(s.d.) age was W7( 14.2) years. Cholecystectomy was performed in 4872 patients (97.4 per cent) and intraoperative cholangiography in 4400 (88.0 per cent). There were 612 operations for acute cholecystitis, 579 for common bile duct stones, 50 for acute pancreatitis and 29 reoperations following injury to the bile -Cholecystectomy is one of the most commonly performed operations in Western Europe and the United States. More than 70000 gallbladders are removed in France each year' and about 500 OOO in the USA'. Traditional cholecystectomy has long been considered the 'gold standard' for treatment of gallstones3. Laparoscopic cholecystectomy, which was developed4 in the present author's institution in 1988, is increasingly replacing the open procedure.

This study evaluates prospectively the results of traditional operations for calculous biliary tract disease in a large series of patients operated on and followed by the same team. History of prior biliary tract disease, presenting symptoms, operative findings and procedures, morbidity, mortality and pathological findings were recorded. Long-term results were not considered.