Laparoscopic Cholecystectomy in a Single, Non-Teaching Hospital: An Analysis of 1557 Patients

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dc.contributor.authorHasbahceci, Mustafa
dc.contributor.authorUludağ, Murat
dc.contributor.authorErol, Cengiz
dc.contributor.authorÖzdemir, Arif
dc.date.accessioned2020-03-26T18:30:47Z
dc.date.available2020-03-26T18:30:47Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Laparoscopic cholecystectomy may lead to serious complications, although it is the gold standard treatment for gallstones. In this article, the aim was to review our experience with laparoscopic cholecystectomies. Subjects and Methods: All laparoscopic cholecystectomies were performed in a single, non-teaching hospital between January 2000 and October 2010 and were reviewed retrospectively to analyze the effect of preoperative risk factors on outcome and the associated major complications. Results: This study included 1557 laparoscopic cholecystectomies, and the mean age of the patients was 54.1 +/- 12.3 years. The mean duration of the operation and the mean length of stay were 43.4 minutes and 1.2 days, respectively. Conversion to an open cholecystectomy was necessary in 39 patients, and thus the conversion rate was 2.5%. In total, 57 (3.7%) complications occurred in 51 patients. Serious common bile duct injury was seen in 4 (0.27%) cases. The other common complications included bile leakage in 10 (0.64%) and postoperative bleeding in 7 (0.45%) patients. The mortality rate was 0.13%. Risk factors for conversion to open surgery were male gender, age >55 years, emergency admission due to acute cholecystitis, and a history of previous acute cholecystitis attacks. Factors that increased the morbidity rate were male gender, an American Society of Anesthesiologists score of III, emergency admission due to acute cholecystitis, and a history of previous acute cholecystitis attacks. Conclusions: Our results may serve as a baseline for comparison with future studies done at single, non-teaching hospitals where surgical teams perform laparoscopic cholecystectomies over a long period of time.en_US
dc.identifier.citationHasbahceci, M., Uludağ, M., Erol, C., Özdemir, A., (2012). Laparoscopic Cholecystectomy in a Single, Non Teaching Hospital: An Analysis of 1557 Patients. Journal of Laparoendoscopice & Advanced Surgical Techniques, 22(6), 527-532. Doi: 10.1089/lap.2012.0005
dc.identifier.doi10.1089/lap.2012.0005en_US
dc.identifier.endpage532en_US
dc.identifier.issn1092-6429en_US
dc.identifier.issn1557-9034en_US
dc.identifier.issue6en_US
dc.identifier.pmid22458833en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage527en_US
dc.identifier.urihttps://dx.doi.org/10.1089/lap.2012.0005
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28187
dc.identifier.volume22en_US
dc.identifier.wosWOS:000306594400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorErol, Cengiz
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleLaparoscopic Cholecystectomy in a Single, Non-Teaching Hospital: An Analysis of 1557 Patientsen_US
dc.typeArticleen_US

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