Feasibility of laparoscopic cholecystectomy for patients with a nonvisualized gallbladder on drip infusion cholangiography

Morimasa Tomikawa, Seigo Kitano, Yasunori Iso, Makoto Hashizume, Masaaki Moriyama, Masayuki Ohta, Hidefumi Higashi, Keizo Sugimachi

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

We report here the operative findings, the incidence of successful laparoscopic treatment, and the perioperative complications in patients with nonvisualized gallbladder on drip infusion cholangiography (DIC). Eighty-five patients with a nonvisualized gallbladder on DIC were entered into the study. None of the patients had a minimal adhesive gallbladder; 51 to 85 patients (60.0%) had moderate adhesive gallbladders, and 34 (40.0%) had severely adhesive ones. The rate of successful laparoscopic treatment, including laparoscopy-assisted abdominal surgery, was 97.6% (83 of 85 patients). Perioperative complications occurred in only three patients (3.5%), and there were no deaths related to the operation. Thus, when patients with a nonvisualized gallbladder on DIC undergo laparoscopic cholecystectomy, meticulous procedures must be carried out; however, as the rate of successful laparoscopic treatment is high, cholecystectomy under laparoscopy is feasible for experienced surgeons.

Original languageEnglish
Pages (from-to)121-124
Number of pages4
JournalSurgical Laparoscopy and Endoscopy
Volume5
Issue number2
Publication statusPublished - Apr 1995

All Science Journal Classification (ASJC) codes

  • Surgery

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