New Approach for Laparoscopic Cholecystectomy Laparoscopic Cholecystectomy for Fundus Downward

Kazuya Kato, Minoru Matsuda, Kazuhiko Onodera, Schinichi Kasai, Michio Mito, Takashige Saito*, Tatsuo Kobayashi**

Second Department of Surgery, Asahikawa Medical College
*Department of Surgery, Higashi-Asahikawa Hospital
**Kobayashi Hospital

A new approach for laparoscopic cholecystectomy (laparoscopic cholecystectomy from fundus downward: LCFD) was investigated. We performed twenty-eight laparoscopic cholecystectomies by the usual technique, and sixty-two were performed by LCFD. The median operating time was 100.7±50.9 min in the laparoscopic cholecystectomy (LC) group versus 77.8±33.0 min in the LCFD group (p<0.01) . There was no signficant difference in the median operating time between the LC group and LCFD group of patients without cholecystitis. But in patients with acute cholecystitis, the median operating time was 129.6±25.0 min in the LC group versus 97.4±38.9 min in the LCFD group (p<0.05). Moreover, intraoperative and postoperative complications were fewer in the LCFD group than that in the LC group. LCFD appears to be a safe procedure and does not compromise retrograde laparoscopic cholecystectomy.

Key words
laparoscopic cholecystectomy, laparoscopic cholecystectomy from fundus downward, ultrasonically powered instrument

Reprint requests
Kazuya Kato Second Department of Surgery, Asahikawa Medical College
4-5 Nishi-Kagura, Asahikawa, 078 JAPAN

Accepted
July 6, 1994

To read the PDF file you will need Abobe Reader installed on your computer.