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Laparoscopic cholecystectomy is a safe and effective treatment of cholelithiasis in experienced hands. Mortality is rare. The Southern Surgeons Club data and several other recent large series indicate that major complications occur in less than 3% of patients. The most significant common complication is injury to the bile duct, for which the greatest risk factor is inexperience. Major biliary injury usually requires reoperations. Roux-en-Y hepaticojejunostomies, often multiple, are usually necessary for repair. The popularity of this technique continues, and further efforts should be focused on elimination of the learning curve for major biliary injury. If injuries do occur, they should be recognized early, and patients should be referred to centers experienced in their treatment.
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
March 1991,
American journal of surgery,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
October 1991,
Surgery,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
November 1991,
Ugeskrift for laeger,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
January 1997,
Wiadomosci lekarskie (Warsaw, Poland : 1960),
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
February 1993,
Clinical nuclear medicine,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
March 1998,
Age and ageing,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
January 1994,
G.E.N,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
June 1993,
Helvetica chirurgica acta,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
April 1992,
Harefuah,
V S Lee, and
R S Chari, and
G Cucchiaro, and
W C Meyers
January 1995,
Kansas medicine : the journal of the Kansas Medical Society,
