AI Article Synopsis
- The study evaluated the outcomes of the first 400 laparoscopic cholecystectomies performed at Akureyri Central Hospital in Iceland from July 1992 to February 2001.
- A total of 426 surgeries were done, with 400 laparoscopic procedures initiated; the conversion to open surgery occurred in 4% of cases, primarily for acute cholecystitis.
- Findings indicated that the average hospital stay post-laparoscopic surgery was significantly shorter (3.6 days) compared to open surgery (12.3 days), with a complication rate of 10% and an overall conclusion that laparoscopic cholecystectomy is a safe and effective procedure.
Article Abstract
Objective: To assess the outcome of the first 400 laparoscopic cholecystectomies (LC) in Akureyri Central Hospital (FSA), Iceland.
Methods: We carried out a prospective study of LCs performed between July 1992 and February 2001. Primary endpoints were complication- and conversion rate, hospital stay and duration of convalescence.
Results: A total of 426 operations were performed in the period. In 26 cases it was decided beforehand to perform an open cholecystectomy (OC). A LC was begun on 400 patients. Indication for operation was acute cholecystitis in 41 cases (10,3%) and an elective LC was performed in 359 (89,7%) cases. Conversion to OC was required in sixteen (4%) cases with a conversion rate in acutely performed LCs of 12,2% versus 3,1% in elective LCs. Mean hospital stay after LC was 3,6 days (1-45) versus 12,3 days (4-31) after OC. Mean operation time was 89 minutes (45-270) in the first 100 LCs versus 75 minutes (30-180) in the last 100 LCs. Duration of convalescence of patients undergoing LC was 13,5 days (4-70). Complication rate in LCs was 10% (40/400). Four patients required a reoperation.
Conclusions: Our results show that LC is a safe procedure in FSA. Conversion rate to OC, complication rate and duration of convalescence stands good comparison to other studies.
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