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Submitted: 16 May 2007 Modified: 12 October 2016
HERDIN Record #: PCHRDPC971149

A multicenter series of 1579 laparoscopic cholecystectomies in the Philippines.

1Kim Shi C. Tan,
2Narciso S. Navarro Jr.,
3William O. Olalia,
4Serafin C. Hilvano,
5Raul G. Fores,
6Crisostomo E. Arcilla Jr.,
7Maximino D. Elgar,
8Arturo O. Flores,
9Gregorio S. Sy,
10Crisostomo A. Arcilla Sr.,
11Enrique T. Ona,
12Bienvenido S. Gaddi,
13Edgardo G. Cabrera,
14Ernesto C. Tan,
15Modesto O. Llamas,
16Vicente R. Porciuncula,
17Joselito D. Almendras,
18Crisostomo B. Dy
Far Eastern University-Nicanor Reyes Medical Foundation Hospital, FEU-NRMF Hosp,
Hospital of The Infant Jesus,
UST Hospital,
Philippine General Hospital - University of the Philippines Manila,
Makati Medical Center,
Manila Doctors Hospital,
MCU-FDTMF Hospital,
Medical Center Manila,
Metropolitan Hospital Manila, MH,
Our Lady of Lourdes Hospital,
National Kidney Institute, NKI,
Capitol Medical Center,
Cardinal Santos Medical Center,
Chinese General Hospital, CGH,
United Doctors Medical Center,
Cebu Doctors Hospital,
Chong Hua Hospital

Abstract

The Philippine Society of Laparoscopic Surgeons(PSLS) conducted a retrospective study of 1579 patients who underwent laparoscopic cholecystectomy for the treatment of gallbladder disease in order to evaluate the safety of the procedure. A total of 96 complications (6.1%) occurred in this series. Overall, the most common complication was superficial wound infection at the trocar site where the gallbladder was extracted. A total of 15 (0.9%) bile duct injuries occurred. Two were repaired laparoscopically and the other 13 were managed by open surgery. Six cases were repaired primarily whereas the remaining seven cases were corrected by bilienteric anastomosis. There were two deaths (0.13%). One was due to hepatorenal failure and the other to sepsis. In 81 patients (5.1%) the procedures were converted to open cholecystectomies. The most common reason for the change was obscured anatomy due to severe inflammation The results of laparoscopic cholecystectomy in the Philippines compared favorably with those of conventional cholecystectomy with respect to morbidity and mortality. A slightly higher occurrence of ductal injury with laparoscopic cholecystectomy is believed to be a reflection of the learning curve of the surgeons.

1.
Publication Type:
Journal
Publication Sub Type:
Journal Article, Original
Title:
Philippine Journal of Surgical Specialties
Frequency:
Quarterly
Publication Date:
October-December 1993
Volume:
48
Issue:
4
Page(s):
135-138

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 6 Fulltext pdf (Request Document)