Online citations, reference lists, and bibliographies.
← Back to Search

Laparoscopic Cholecystectomy In The Netherlands

P. Go, F. Schol, D. Gouma
Published 1993 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Laparoscopic cholecystectomy was introduced into the Netherlands in the Spring of 1990. The aim of this study was to evaluate the results of the procedure in Dutch hospitals over the first 2 years to obtain some insight into its safety and efficacy in general surgical practice. A written questionnaire was sent to all 138 Dutch surgical institutions enquiring about conversion rate, complications (with emphasis on mortality rate and common bile duct injuries), operating time and hospital stay. The surgeons' opinions were also sought on possible contraindications such as previous operation, bile duct stones and cholecystitis, as were their estimations of the percentage of patients in their practice eligible for laparoscopic cholecystectomy. Data were obtained for 6076 laparoscopic cholecystectomies; the response rate was 100 per cent. Conversion to open cholecystectomy was necessary in 413 patients (6·8 per cent), mostly because of adhesions, cholecystitis, haemorrhage and unclear anatomy. Postoperative complications were reported in 260 patients (4·3 per cent). There were seven deaths (0·12 per cent) and 52 (0·86 per cent) bile duct injuries, of which 20 were recognized during laparoscopy. The mean operating time for the ten most recent patients in each institute was 70 (range 30–180) min and the mean hospital stay 4·5 (range 2–8) days. Previous lower abdominal operations were not considered to be a contraindication by 96 per cent of surgeons, whereas, previous upper abdominal procedures were regarded as a contraindication by 66 per cent. After successful clearance of the bile duct at endoscopic retrograde cholangiopancreatography, only 12 per cent would perform an open procedure. Moderate cholecystitis was not considered a contraindication to laparoscopic cholecystectomy by 71 per cent of surgeons, but severe cholecystitis was a reason for open cholecystectomy for 83 per cent. In most surgical practices 70–80 per cent of patients were considered to be eligible for the laparoscopic procedure. In conclusion, laparoscopic cholecystectomy has gained rapid acceptance in the Netherlands. Although the number of bile duct injuries is high, the findings of this general survey are similar to those from highly specialized centres and match the overall results of conventional cholecystectomy.
This paper references



This paper is referenced by
10.1002/BJS.1800840548
Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: An audit of 5913 cases
M. Richardson (1996)
10.1097/SLE.0b013e31826d7fb0
Laparoscopic Cholecystectomy in Acute Cholecystitis: C-Reactive Protein Level Combined With Age Predicts Conversion
K. Wevers (2013)
10.1016/S1091-255X(97)80101-1
Litigious consequences of open and laparoscopic biliary surgical mishaps
James G. Chandler (2007)
10.1111/J.1445-2197.1994.TB04553.X
Randomized trials for laparoscopic surgery.
D. Watson (1994)
10.5152/turkjsurg.2018.3888
Management of iatrogenic bile duct injuries: Multiple logistic regression analysis of predictive factors affecting morbidity and mortality.
Ela Ekmekcigil (2018)
10.18535/JMSCR/V6I1.48
Intraoperative Intra-Abdominal Complications of Laparoscopic Cholecystectomy- A Prospective Study
B. L. Sunkaria (2018)
10.1007/s00595-005-3038-z
Bile Duct Injuries Associated with Laparoscopic and Open Cholecystectomy: An 11-Year Experience in One Institute
T. Diamantis (2005)
10.1097/00000658-199705000-00003
Major bile duct injuries during laparoscopic cholecystectomy. Follow-up after combined surgical and radiologic management.
K. Lillemoe (1997)
10.1016/S0168-8510(00)00123-8
Timing of adoption of laparoscopic cholecystectomy in Denmark and in The Netherlands: a comparative study.
P. Poulsen (2001)
Conversion In Laparoscopic Cholecystectomy: An Evaluation Study
A. Anand (2007)
10.1016/S0140-6736(94)90932-6
Laparoscopic versus minilaparotomy cholecystectomy: a randomised trial
A. J. Mcmahon (1994)
10.4103/0972-9941.68579
Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management
R. Kaushik (2010)
10.1007/s004649901132
Development of gallstone surgery in Germany
H.-J. Krämling (1999)
10.1007/s13304-020-00716-7
Retrograde tracing along “cystic duct” method to prevent biliary misidentification injury in laparoscopic cholecystectomy
Xiaopeng Chen (2020)
10.1016/S0168-8510(96)90054-8
Diffusion of six surgical endoscopic procedures in the Netherlands. Stimulating and restraining factors.
C. Dirksen (1996)
10.1097/00000658-200009000-00015
Postoperative Bile Duct Strictures: Management and Outcome in the 1990s
K. Lillemoe (2000)
10.1055/s-0043-123935
Percutaneous-endoscopic rendezvous procedure for the management of bile duct injuries after cholecystectomy: short- and long-term outcomes.
Anne Marthe Schreuder (2018)
10.1007/BF00188459
A double or bilobar gallbladder as a cause of severe complications after (laparoscopic) cholecystectomy
T. D. Leeuw (2004)
10.1111/j.1443-1661.1996.tb00409.x
Laparoscopic Cholecystectomy in Patients with Previous Gastrectomy
Rachit Hakeem (1996)
10.1097/00000658-199812000-00003
Laparoscopic cholecystectomy: day-care versus clinical observation.
Y. Keulemans (1998)
10.1080/00015458.2003.11679398
Prevalence of Bile Duct Injury Following Cholecystectomy
Cl Bertrand (2003)
10.1055/s-0034-1390908
Morbidity and mortality after minor bile duct injury following laparoscopic cholecystectomy.
K. A. C. Booij (2015)
10.1002/(SICI)1097-0142(19981215)83:12<2618::AID-CNCR29>3.0.CO;2-H
The National Cancer Data Base report on carcinoma of the gallbladder, 1989‐1995
J. Donohue (1998)
COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY AT ISRA UNIVERSITY HOSPITAL, HYDERABAD
Waseem Memon (2009)
[Intraoperative injuries of bile ducts].
Eduard I. Galperin (2010)
10.1111/j.1443-1661.1994.tb00677.x
Laparoscopic Cholecystectomy, How We Do It
J. Jakimowicz (1994)
Laparoscopic bile duct injury : consequences, quality of life and claims
P. D. Reuver (2008)
10.1080/13651820802140745
Iatrogenic bile duct injury--a cost analysis.
R. Andersson (2008)
Colecistectomía laparoscópica versus colecistectomía tradicional. Resultados de una serie de 1,000
Cirujano General (2002)
10.1007/978-3-540-32784-4_12
The EAES Clinical Practice Guidelines on Laparoscopic Cholecystectomy, Appendectomy, and Hernia Repair (1994)
E. M. Neugebauer (2006)
Laparoscopicc cholecystectomy in day-care ; implementationn of a guideline for clinical care
Esther H.B.M. Tilleman ()
10.1007/s004649900563
The dramatic reality of biliary tract injury during laparoscopic cholecystectomy
J.-F. Gigot (1997)
See more
Semantic Scholar Logo Some data provided by SemanticScholar