Biomedical subjects

W P Ledet

Publications and source records attributed to W P Ledet.

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↗

PubMed1990

Ambulatory cholecystectomy without disability.

This is a presentation of 200 consecutive outpatient cholecystectomies performed during a 4-year period in a small community hospital. This technique is performed with minor modifications of the usual cholecystectomy procedure so that it could easily be performed by general surgeons throughout the United States. The procedure has resulted in a large reduction in the short- and long-term morbidity associated with cholecystectomy, and in savings of up to one fourth the cost of a routine inpatient cholecystectomy. This procedure allows the general surgeon to treat patients with cholecystectomies in the fashion to which the surgeon is accustomed and still markedly reduce the hospital stay. The morbidity from this procedure seems comparable with laser cholecystectomy. Ambulatory cholecystectomy as described here does not require any special training or equipment.

Ambulatory Surgical Procedures↗