LAPAROSCOPIC CHOLECYSTECTOMY - 1ST YEAR E XPERIENCE AT THE NSTITUTO-NACIONAL-DE-LA-NUTRICION-SALVADOR-ZUBIRAN

The results at our institution with laparoscopic cholecystectomy in it s first year are informed. The patients included in this study were ro utinely evaluated for an open procedure. The operation was done with t he standard technique and equipment. In the postoperative period, ultr asound was done. Seventy-eight patients were included, 63 of them fema les. Age averaged 49.5 years (range 20-77). In three cases, choledocho lithiasis was also demonstrated; these patients were treated with tran sendoscopic sphincterotomy. In 74 cases only cholelithiasis was demons trated, two of them with shrinked gallbladder. In one case adenomyosis was found. Sixty-five cases had associated diseases which did not pre clude the operation. Six cases were converted to an open cholecystecto my: two because of bleeding, the two cases with shrinked gallbladders, one with intrahepatic gallbladder, and the last one because of a Miri zzi syndrome with bile duct injury. In all cases, the conversion resol ved the indication including the Mirizzi syndrome that required biliar y reconstruction. No operative mortality was recorded. Complications: wound infection four, wound hematoma one, subhepatic hematoma two, and bile duct injury one.