Biomedical subjects
Publications and source records attributed to H Raude.
Of 4023 Patients with gallstone disease, 124 were treated for common bile duct stones by endoscopy (ERC/EPT). Stone clearance was completed in 81% of the patients. Due to a morbidity of 5.9% and a mortality of 0.6%, the concept of preoperative ERC followed by laparoscopic cholecystectomy seems to reduce risk for the patients.
The laparoscopic cholecystectomy is fully integrated into the therapy concept of gallstone disease. The laparoscopic procedure was successfully performed in 97.5% of 2200 patients. In 2.5% of the patients the operation had to be converted to open surgery. Complications occurred in 3.6%, containing infections of the umbilicus (2.2%), postoperative bleedings (0.4%) and lesions of the d.hepatocholedochus (0.4%). Mortality rate was 0.1%. During the last 2 years the indication for the laparoscopic approach has been rapidly expanded while the indication for primary open surgery was reduced to 2% of the patients. Laparoscopic cholecystectomy proved to be a rapid and safe procedure for treating gallbladder stones.
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