LAPAROCHOLECYSTECTOMY - 6,865 CASES FROM ITALIAN INSTITUTIONS

Data concerning 6,865 laparocholecystectomies have been collected retr ospectively from 19 Italian groups. Only 5% of all patients were chose n for open cholecystectomy (OC). Acute cholecystitis was present in 5. 6% of laparocholecystectomies (LC). Conversion to laparotomy occurred in 3.1% of patients. Mortality was 0.06%, morbidity 2.53% (general ane sthesia complications 0.07%; general complications 0.07%; omphalitis 0 .7%; abdominal complications 1.69%). Main duct lesions occurred in 0.2 6% of the patients, biliary leaks in 0.48%, bleedings in 0.75%, perfor ations in 0.2%. Data from literature concerning OC are compared to our s: mortality and morbidity have been lowered by LC; general and abdomi nal-wall complications have been drastically reduced; main duct lesion s are not different.