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Biomedical subjects

A K Seale

Publications and source records attributed to A K Seale.

3 recordsLinked to original sources
PubMed1999

Primary common bile duct closure.

OBJECTIVE: To show that primary closure of the common bile duct following minicholecystectomy is safe and effective. DESIGN: Eighty-nine primary common bile duct closures done over 13 years. SETTING: General community hospital. PATIENTS: Patients with cholangiographic evidence of stones in the common bile duct. INTERVENTIONS: Minicholecystectomy followed by a primary common bile duct closure or common bile duct closure over a T tube. MAIN OUTCOME MEASURES: Successful clinical result of primary common bile duct closure following minicholecystectomy. RESULTS: Eighty-nine primary closures of the common bile duct between 1983 and 1986, resulting in successful clinical outcomes. CONCLUSION: Primary closure of the common bile duct following minicholecystectomy is safe, effective, and inexpensive.

Adult↗
PubMed1999

Minicholecystectomy: a safe, cost-effective day surgery procedure.

OBJECTIVE: To document effectiveness of minicholecystectomy as a safe, cost-effective day surgery procedure with rapid return to work. DESIGN: Review of medical records. SETTING: Small community hospital. PATIENTS: A total of 1207 patients who underwent minicholecystectomies from January 1, 1986, through December 31, 1997. INTERVENTION: Minicholecystectomy. MAIN OUTCOME MEASURES: Complications, length of hospital stay, cost, and time until return to work. RESULTS: Of the 1207 patients who underwent minicholecystectomy, 74% were admitted for day surgery, 88% of whom were discharged in less than 12 hours, 9.3% in 24 hours or less, and 1.7% in greater than 24 hours; 0.3% were readmitted within 2 weeks. The complication rate was 0.2%; 2 cases required laparotomy, with no common duct injuries. The cost of the procedure was S435; the average time it took working patients to return to work was 11.4 days. CONCLUSIONS: Minicholecystectomy is a safe, inexpensive day surgery method of cholecystectomy with minimal time off work after surgery.

Adolescent↗