[1000 laparoscopic cholecystectomies--evaluation of complications]. / Tisíc laparoskopických cholecystektomií--hodnocení komplikací.

ABSTRACT

At the Department of Surgery in Liberec since the middle of 1992 to the end of 1995 one thousand laparoscopic cholecystectomies were performed. Peroperative cholangiography is not used as a routine method. The percentage of conversions declined from 10% to 3% as the technical skill improved. The period taken up by the operation decreased from 140 minutes in the first operation to 15-30 minutes in non-complicated laparoscopic cholecystectomy. The most serious complication was a lesion of the choledochus, resolved by a Y-Roux anastomosis. The patients were discharged on the second or third day after operation and are followed up in the out-patient department.