The impact of laparoscopic cholecystectomy on the treatment of symptomatic cholelithiasis

H. S. Ho, K. A. Mathiesen, B. M. Wolfe

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Background: There has been a debate about the cost-effectiveness of Iaparoscopic cholecystectomy (LC), as well as a concern regarding its possible overutilization and changes in the indication for surgery. Methods: A retrospective analysis of all cholecystectomies performed at UCDMC from 1988 to 1994 was done. The annual rate of cholecystectomy increased by 50% in 1990 when LC was introduced but has since stabilized at a rate 11 % higher than the rate before LC. The disease status and severity did not change. Results: The incidence of nonelective surgery remained stable at 31.2% to 37.5%. Elective cholecystectomy had lower mortality (0.16% vs 1.8%, P = 0.029), morbidity (2.6% vs 11.2%, P = 0.0001), and conversion rate (2.6% vs 16%, P = 0.0001) and a shorter length of stay (2.1 days vs 5.4 days), compared with nonelective procedure. Conclusions: The indication for surgery in cholelithiasis has not changed since the introduction of LC. In patients with symptomatic gallstones, early elective surgery is recommended and may be more cost-effective.

Original languageEnglish (US)
Pages (from-to)746-750
Number of pages5
JournalSurgical endoscopy
Volume10
Issue number7
DOIs
StatePublished - Jul 1996

Keywords

  • Cholelithiasis
  • Elective vs nonelective surgery
  • Indication for surgery
  • Laparoscopic cholecystectomy

ASJC Scopus subject areas

  • Surgery

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