Gallstones
  Laparoscopic Gallbladder Surgery.
   
  “Each year, in the United States, approximately 500,000 people develop symptoms or complications of gallstones requiring cholecystectomy. Gallstone disease is responsible for about 10,000 deaths per year in the United States. About 7000 deaths are attributable to acute gallstone complications, such as acute pancreatitis
   
   
 
Surgical Procedures  >  Gallstones  >  Laparoscopic vs Open Surgery    
 
Laparoscopic Vs Open Surgery
         
       
         
  • Very small incisions (3 to 4) and in selected cases even 1 incision! (Single Port Access Surgery)
  • Fast recovery time (one night hospital stay)
  • Minimal postoperative pain
  • Lower morbidity rate
  • Lower hospital stay
  • Return to normal activity and return to work in shorter period of time (complete recovery in 5 to 7 days)
  • Decreased risk of wound infection and hernia formation
  • Minimal scarring

Complications (All rare in experienced hands)

  • Wound infection 1 to 4%
  • Bleeding <1%
  • Pancreatitis <0.3%
  • Bile leak 0.7%
  • Retained common duct stone <5%
  • Bile duct injury 0.4%
  • Conversion to open surgery less than 5%. **

  • **Conversion should never be considered as a failure, but as a tool, when Dr. Rosales decides that the laparoscopic approach might lead to unnecessary complications. Factors that contribute to the need to convert to an open procedure are:

  • Increased patient age
  • Elevated American Society of Anesthesiologists (ASA) Class
  • Extreme Obesity
  • Thickened gallbladder wall


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