Outcome of laparoscopic cholecystectomy in XXXX .

@entity1 @entity407 @entity788 @entity712 @entity390 @entity2741 @entity656 @entity1157 @entity391 @entity260 @entity5990 @entity5837 @entity891 @entity490 @entity943 @entity130
OBJECTIVE: To evaluate the efficacy, safety, and timing of laparoscopic cholecystectomy in the management of mild to moderate cases of @entity656 . METHODS: The medical records of 158 @entity1 admitted to Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia (KSA) from July 1998 to December 2001 were retrospectively reviewed. Acute @entity788 was diagnosed in @entity1 who presented with @entity490 with serum amylase level 3 times the normal limits in the absence of @entity2741 or @entity407 and presence of @entity5990 on ultrasonography. Severity of the disease was assessed using Atlanta Symposium criteria. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) was performed in 106 @entity1 (74.6%) on selective basis. One hundred and eighteen @entity1 underwent laparoscopic cholecystectomy after clinical and biochemical resolution of the attack. Standard 4 ports technique was used. Intraoperative and postoperative morbidity and mortality, and postoperative hospital stay were reported. RESULTS: Laparoscopic cholecystectomy was performed in 118 @entity1 and it was possible in 110 cases (93.2%) after 3-8 days of admission. Preoperative ERCP was performed in 106 @entity1 of mild to moderate @entity656 and common duct stones were retrieved in 19 cases (18%). The procedure was converted to open in 8 cases (6.7%). @entity260 were @entity390 and @entity391 in 10, @entity891 in 8, @entity5837 in 3, and prolonged ileus in 2. The wound complication occurred in 4. One @entity1 who had @entity1157 due to @entity1157 at CBD junction was treated by endoscopic sphincterotomy plus stenting and another @entity1 had partial @entity130 repaired primarily over a T-tube. Mean postoperative hospital stay was 2.4 days. One @entity1 died due to uncontrolled @entity943 and @entity712 . CONCLUSION: Laparoscopic cholecystectomy can be safely performed for mild to moderate @entity656 after clinical and biochemical resolution of the attack during the same admission with acceptable morbidity and mortality rates. This strategy will lead to reducing the recurring @entity656 , number of admissions and hospital stay.
