Mortality and complications of laparoscopic cholecystectomy

The mortality range of laparoscopic cholecystecomy appears to be 9 - 16 per 10,000, common bile duct injury range 35 - 45 per 10,000 and conversion rate to open cholecystectomy around 5%.

A systematic review including 15 studies on laparoscopic cholecystectomy (LC) from multiple institutions (n=48,795), 28 studies on open cholecystectomy (OC) from a single institution (n=12,973), 75 studies on reasons for conversion from LC to OC (n=25,763, of whom 1400 had a conversion), and 83 studies on LC from a single institution (n=30,052) was abstracted in DARE.

LC from a single institution mortality range was 14 - 16 per 10,000, common bile duct injury range was 36 - 47 per 10,000, and conversion rate range was 4.9 - 5.2%. LC from multiple institutions mortality range was 8.6 - 9.1 per 10,000, common bile duct injury range was 46 - 47 per 10,000, and conversion rate was 5.5%.

Conversion to OC was most commonly due to technical reasons.

Comment: The quality of evidence is upgraded by consistency.

Ədəbiyyat

1. Shea JA, Healey MJ, Berlin JA, Clarke JR, Malet PF, Staroscik RN, Schwartz JS, Williams SV. Mortality and complications associated with laparoscopic cholecystectomy. A meta-analysis. Ann Surg 1996 Nov;224(5):609-20.