A prospective comparison of costs and morbidity of laparoscopic versus open cholecystectomy.

Background/aims: The aims of this study were to compare pain and discomfort after laparoscopic cholecystectomy (LC) and open cholecystectomy (OC), and to quantify the costs of both procedures.

Material And Methods: Seventy-six patients undergoing a LC were prospectively compared with 24 patients who had an OC. Pain was assessed with a visual analog scale, and two rating indexes, one day, three months, and six months postoperatively.

[Teaching digestive laparoscopic surgery in France: from education to accreditation?].

The extremely rapid development of laparoscopic surgery since 1989 has given evidence, by the increase in the number of local and vital complications, that teaching of laparoscopic surgery is absolutely necessary, especially technical and practical training. Indeed, laparoscopic surgery is not only a new and different way to attain abdominal organs, but it needs also a complete different acquiring of gestures, which are difficult since the eyes and hands are dissociated due to the videotechnics. The University post-graduate training courses (University Diploma D.

[Laparoscopic cholecystectomy].

Laparoscopic digestive surgery is right now like a revolution. The author, after a short historic hommage to Raoul Palmer who in 1940 realized the first laparoscopy and also to Philippe Mouret and François Dubois who performed the first laparoscopic cholecystectomy in the world in 1987, is doing some comments. The comments are based in the experience of the author who performed in his surgical department about 400 cholecystectomies and another study realized with B.