Open laparoscopy for laparoscopic cholecystectomy

Robert Joseph Fitzgibbons, Stephen Schmid, Robert Santoscoy, Steve Tyndall, Ronald Hinder, Charles Filipi, Joseph Jenkins, Robert J. Fitzgibbons, Giovanni M. Salerno

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

This report deals with the first 350 laparoscopic cholecystectomies performed at Creighton University, beginning in October 1989, by one of the authors (R.J.F., Jr.). An open technique was used for initial access to the abdominal cavity in 343 patients (98%). Patients included 274 females and 76 males, with an average age of 45.5 years. Weight ranged from 72 to 316 pounds (32-142.2 kg). The laparoscopic procedure was successfully completed in 338 (96.6%). Operative cholangiography was performed in 113 (32.3%), and 52 (14.7%) had acute cholecystitis as determined by the final pathological report. Median operating time was 80 min. There was no operative mortality. Bile duct injury was not seen. Postoperative complications occurred in 21 patients (6%), only two of which were directly related to the open technique (cellulitis of the umbilical wound requiring antibiotics). A third patient (0.3% of 343 successful laparoscopies) required reoperation on postoperative day 4 for a small bowel perforation; the exact cause could not be determined, but conceivably it was related to the umbilical minilaparotomy. We conclude that the open technique is safe and effective method for initial peritoneal access prior to laparoscopic cholecystectomy.

Original languageEnglish
Pages (from-to)216-222
Number of pages7
JournalSurgical Laparoscopy and Endoscopy
Volume1
Issue number4
StatePublished - 1991
Externally publishedYes

Fingerprint

Laparoscopic Cholecystectomy
Laparoscopy
Umbilicus
Acute Cholecystitis
Cellulitis
Cholangiography
Abdominal Cavity
Wounds and Injuries
Bile Ducts
Reoperation
Laparotomy
Anti-Bacterial Agents
Weights and Measures
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Fitzgibbons, R. J., Schmid, S., Santoscoy, R., Tyndall, S., Hinder, R., Filipi, C., ... Salerno, G. M. (1991). Open laparoscopy for laparoscopic cholecystectomy. Surgical Laparoscopy and Endoscopy, 1(4), 216-222.

Open laparoscopy for laparoscopic cholecystectomy. / Fitzgibbons, Robert Joseph; Schmid, Stephen; Santoscoy, Robert; Tyndall, Steve; Hinder, Ronald; Filipi, Charles; Jenkins, Joseph; Fitzgibbons, Robert J.; Salerno, Giovanni M.

In: Surgical Laparoscopy and Endoscopy, Vol. 1, No. 4, 1991, p. 216-222.

Research output: Contribution to journalArticle

Fitzgibbons, RJ, Schmid, S, Santoscoy, R, Tyndall, S, Hinder, R, Filipi, C, Jenkins, J, Fitzgibbons, RJ & Salerno, GM 1991, 'Open laparoscopy for laparoscopic cholecystectomy', Surgical Laparoscopy and Endoscopy, vol. 1, no. 4, pp. 216-222.
Fitzgibbons RJ, Schmid S, Santoscoy R, Tyndall S, Hinder R, Filipi C et al. Open laparoscopy for laparoscopic cholecystectomy. Surgical Laparoscopy and Endoscopy. 1991;1(4):216-222.
Fitzgibbons, Robert Joseph ; Schmid, Stephen ; Santoscoy, Robert ; Tyndall, Steve ; Hinder, Ronald ; Filipi, Charles ; Jenkins, Joseph ; Fitzgibbons, Robert J. ; Salerno, Giovanni M. / Open laparoscopy for laparoscopic cholecystectomy. In: Surgical Laparoscopy and Endoscopy. 1991 ; Vol. 1, No. 4. pp. 216-222.
@article{7b2d58d727b9411e95a58e6ac67062a8,
title = "Open laparoscopy for laparoscopic cholecystectomy",
abstract = "This report deals with the first 350 laparoscopic cholecystectomies performed at Creighton University, beginning in October 1989, by one of the authors (R.J.F., Jr.). An open technique was used for initial access to the abdominal cavity in 343 patients (98{\%}). Patients included 274 females and 76 males, with an average age of 45.5 years. Weight ranged from 72 to 316 pounds (32-142.2 kg). The laparoscopic procedure was successfully completed in 338 (96.6{\%}). Operative cholangiography was performed in 113 (32.3{\%}), and 52 (14.7{\%}) had acute cholecystitis as determined by the final pathological report. Median operating time was 80 min. There was no operative mortality. Bile duct injury was not seen. Postoperative complications occurred in 21 patients (6{\%}), only two of which were directly related to the open technique (cellulitis of the umbilical wound requiring antibiotics). A third patient (0.3{\%} of 343 successful laparoscopies) required reoperation on postoperative day 4 for a small bowel perforation; the exact cause could not be determined, but conceivably it was related to the umbilical minilaparotomy. We conclude that the open technique is safe and effective method for initial peritoneal access prior to laparoscopic cholecystectomy.",
author = "Fitzgibbons, {Robert Joseph} and Stephen Schmid and Robert Santoscoy and Steve Tyndall and Ronald Hinder and Charles Filipi and Joseph Jenkins and Fitzgibbons, {Robert J.} and Salerno, {Giovanni M.}",
year = "1991",
language = "English",
volume = "1",
pages = "216--222",
journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",
issn = "1530-4515",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Open laparoscopy for laparoscopic cholecystectomy

AU - Fitzgibbons, Robert Joseph

AU - Schmid, Stephen

AU - Santoscoy, Robert

AU - Tyndall, Steve

AU - Hinder, Ronald

AU - Filipi, Charles

AU - Jenkins, Joseph

AU - Fitzgibbons, Robert J.

AU - Salerno, Giovanni M.

PY - 1991

Y1 - 1991

N2 - This report deals with the first 350 laparoscopic cholecystectomies performed at Creighton University, beginning in October 1989, by one of the authors (R.J.F., Jr.). An open technique was used for initial access to the abdominal cavity in 343 patients (98%). Patients included 274 females and 76 males, with an average age of 45.5 years. Weight ranged from 72 to 316 pounds (32-142.2 kg). The laparoscopic procedure was successfully completed in 338 (96.6%). Operative cholangiography was performed in 113 (32.3%), and 52 (14.7%) had acute cholecystitis as determined by the final pathological report. Median operating time was 80 min. There was no operative mortality. Bile duct injury was not seen. Postoperative complications occurred in 21 patients (6%), only two of which were directly related to the open technique (cellulitis of the umbilical wound requiring antibiotics). A third patient (0.3% of 343 successful laparoscopies) required reoperation on postoperative day 4 for a small bowel perforation; the exact cause could not be determined, but conceivably it was related to the umbilical minilaparotomy. We conclude that the open technique is safe and effective method for initial peritoneal access prior to laparoscopic cholecystectomy.

AB - This report deals with the first 350 laparoscopic cholecystectomies performed at Creighton University, beginning in October 1989, by one of the authors (R.J.F., Jr.). An open technique was used for initial access to the abdominal cavity in 343 patients (98%). Patients included 274 females and 76 males, with an average age of 45.5 years. Weight ranged from 72 to 316 pounds (32-142.2 kg). The laparoscopic procedure was successfully completed in 338 (96.6%). Operative cholangiography was performed in 113 (32.3%), and 52 (14.7%) had acute cholecystitis as determined by the final pathological report. Median operating time was 80 min. There was no operative mortality. Bile duct injury was not seen. Postoperative complications occurred in 21 patients (6%), only two of which were directly related to the open technique (cellulitis of the umbilical wound requiring antibiotics). A third patient (0.3% of 343 successful laparoscopies) required reoperation on postoperative day 4 for a small bowel perforation; the exact cause could not be determined, but conceivably it was related to the umbilical minilaparotomy. We conclude that the open technique is safe and effective method for initial peritoneal access prior to laparoscopic cholecystectomy.

UR - http://www.scopus.com/inward/record.url?scp=0026262550&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026262550&partnerID=8YFLogxK

M3 - Article

VL - 1

SP - 216

EP - 222

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

SN - 1530-4515

IS - 4

ER -