Conversion to open cholecystectomy
is occasionally necessary to avoid or repair injury, delineate confusing anatomic relationships, or treat associated conditions.
However, once the patient becomes symptomatic, cholecystectomy
should be considered both to alleviate the symptoms and to avoid complications.
Additionally, none of the recurrent biliary events occurred in those patients who did receive a cholecystectomy
during the index hospitalization or within the first 30 days after discharge.
There has been controversy in the literature regarding routine or selective HPE of gallbladder specimens when cholecystectomy
is performed for benign gallbladder diseases.
Cholelithiasis is a common problem among masses and two to three percent of asymptomatic patients become symptomatic each year.1 Laparoscopic cholecystectomy
was introduced as an alternative to conventional open gallbladder removal, by Mouret in 1987 and it soon became gold standard for the surgical treatment of cholelithiasis.2,3 Role of routine sub hepatic drainage after Laparoscopic cholecystectomy
is still an issue of great debate.4,5 An intra-abdominal drainage inserted as an early warning system may not always detect a nearby fluid collection and it also poses risk of liver, vascular and potentially a visceral injury.
We hypothesized that the length of stay could be reduced to 24 h in cases of elective uncomplicated laparoscopic cholecystectomy
Resection of laparoscopic port sites was routinely performed in all patients receiving laparoscopic cholecystectomy
. Combined resection of adjacent organs was performed as long as R0 resection could be expected.
With the existing symptoms, emergency laparoscopic cholecystectomy
was scheduled for the patient.
Patients with acute cholecystitis, irrespective of duration of symptoms were managed by intravenous antibiotics and had a cholecystectomy
on the next available operating list, which ranged from 24 hours to 96 hours post admission.
 Difficulties encountered in cholecystectomy
are due to anatomical ductal and vascular anomaly or distorted anatomy following acute or chronic inflammation.
Three hundred and eighty patients had cholecystectomy
before RYGB, and three of this group developed primary CBD stones (<1%).
For laparoscopic cholecystectomy
, the impact on outcome of an out-of-hours procedure is unclear.