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Biomedical subjects

J P Kock

Publications and source records attributed to J P Kock.

6 recordsLinked to original sources
PubMed1996

[Laparoscopic cholecystectomy in patients with earlier laparotomy].

Previous abdominal surgery has been reported as a relative contraindication to laparoscopic cholecystectomy. A retrospective analysis of 356 laparoscopic cholecystectomies was undertaken to determine whether previous abdominal surgery led to increased morbidity. The results of 116 patients who had had previous abdominal surgery were compared with those of 240 patients without previous abdominal surgery. The rate of conversion to open operation was not increased. The operating time was a little increased. There were no increases in either minor or major postoperative complications in patients with previous abdominal surgery, and the in-hospital stay time was the same. The median recovery time was respectively ten versus eight days in patients with and without previous surgery. We conclude that previous abdominal surgery is not a contraindication to laparoscopic cholecystectomy.

Adolescent↗
PubMed1994

[Primary experiences with laparoscopic appendectomy].

The material comprises 77 patients with suspected appendicitis seen in a district community hospital. In the presence of a surgeon with laparoscopic experience laparoscopy was performed in 23 patients. In two patients the laparoscopy was only diagnostic, and in two patients adhesions or friable gangrenous appendicitis necessitated conversion to conventional appendicectomy. Nineteen patients thus had a laparoscopic appendicectomy performed with a median operation time of 63 minutes and a median hospital stay of two days. One patient with gangrenous appendicitis and a periappendicular abscess was readmitted after three weeks because of deep infection, which resolved after antibiotic treatment. The remaining 54 patients had a conventional appendicectomy performed, with a median operation time of 40 minutes and a median hospital stay of three days. There were six complications in this group. We conclude that laparoscopic appendicectomy is a safe alternative to open operation with benefits for the patient in form of lesser pain, shorter hospital stay, fewer complications, better cosmetic outcome, and shorter time to normal activity.

Adolescent↗
PubMed1992

[Non-surgical treatment of acute cholecystitis in high-risk patients. Percutaneous drainage of the gallbladder and removal of stones].

Eight high-risk patients with acute cholecystitis were submitted to subhepatic percutaneous drainage of the gall-bladder as the initial treatment. One patient died a few days after the intervention. Six patients had stones in the gall-bladder. Cholecystectomy was performed in one of these in five, the stones were removed by a percutaneous endoscopic technique after dilatation of the drainage canal. No noteworthy complications occurred.

Acute Disease↗
PubMed1991

[Percutaneous cholecystostomy and laser lithotripsy].

A case of acute cholecystitis in a high risk patient was treated in the acute phase with cholecystostomy guided by ultrasound and with introduction of a pig-tail catheter for drainage. Later, percutaneous laser lithotripsy was undertaken via a flexible choledochoscope. The recent percutaneous therapeutic principles and the possibilities in biliary calculous disease are reviewed.

Acute Disease↗