Use of laparoscopic procedure for gallbladder removal var...( conventional open cholecystectomy stil...),Health

conventional open cholecystectomy still remains the treatment of choice for acute cholecystitis for many surgeons--mainly because of concerns about bile duct injuries and an excessively high conversion rate (a procedure that begins using the laparoscopic technique, but then requires "converting" to an open laparotomy for gall bladder removal).

"The application of LC in the emergency condition is technically demanding and certainly needs to be performed by experienced laparoscopic surgeons," they assert.

"The present study demonstrated that, on a population basis, the use of LC for acute cholecystitis is increasingly popular among surgeons," the authors conclude. "More LCs for acute cholecystitis have been performed recently. In a relatively stable population, younger female patients in selected hospitals are more likely to have LC for acute cholecystitis."

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Contact: Chi Ming Lam, M.S., F.R.C.S.
lamcm@hkucc.hku.hk
JAMA and Archives Journals
21-Nov-2005

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