Laparoscopic cholecystectomy in patients with previous upper abdominal operations

Abstract

Objective To evaluate the feasibility of laparoscopic cholecystectomy(LC) in patients with previous upper abdominal operations.Methods Among 2520 patients admitted in our hospital from January,2000 to October,2007 underwent LC,excluding those with acute cholecystitis,gall-stone,cystic polypus,acute biliary pancreatitis,severe obesity or hepatic calculus,there were 1691 patients without history of upper abdominal operation,and 85 patients with history of upper abdominal operation.Age,sex,operation times,postoperative complications such as adhesion and separation of adhesion required and hospital stay were reviewed and analyzed.Results In the group without previous operation,45 patients occurred adhesion and separation was required in 26 patients.The operation time was (45.2±21.0) minutes,and the hospital stay was (4.6±1.5) days.Complications occurred in 23 patients.In the group with previous upper abdominal operation,66 patients occurted adhesion and separation was required in 51 patients.The operation time was (60.5±26.3) minutes,and the hospital stay wag (5.5±1.3)days.The postoperative complications and hospital stay between two groups show no difference (P>0.05).However,the differrence of operation time,cages of convertion to operation adhesion and separation required were significant(P<0.05).Conclusions Laparoscopic cholecystectomy Can be applied safely in patients with previous upper abdominal operations. Key words: Laparoacopic cholecystectomy; Adhesions; Previous upper abdominial operations