Laparoscopic Surgery in the Management of Gallstones

Seigo Kitano

Department of Surgery I, Oita Medical University

In the surgical treatment of a diseased gallbladder, laparoscopic cholecystectomy has gained a world-wide popularity since 1989, with the advantages of less pain, good cosmesis, short hospital stay and early ecovery. Since 1990, 564 laparoscopic cholecystectomies have been carried out in our institution. The rate of convertion to open surgery is about 3.5% and the postoperative complications occurred in 3 of the patients; a bleeding from the mesenteric vessel, CBD injury and a bleeding from the cirrhotic liver bed. The more complicated procdures have been done in some of the selected institutions. In case of CBD exploration, we used a C-tube to be inserted into the cystic duct following primary closure of the CBD, instead of a T-tube.

Key words
laparoscopic surgery, gallstone, common bile duct exploration

Reprint requests
Seigo Kitano Department of surgery I, Oita Medical University
1-1 Idaigaoka, Hasama-machi, Oita, 879-55 JAPAN

Accepted
June 8, 1994

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