Surgical Endoscopy

, Volume 7, Issue 5, pp 408–411 | Cite as

A comparison of laparoscopic and open treatment of acute cholecystitis

  • S. W. Unger
  • G. Rosenbaum
  • H. M. Unger
  • D. S. Edelman
Original Articles


A retrospective review of 200 patients with acute cholecystitis, half of whom underwent open cholecystectomy and half of whom underwent laparoscopic cholecystectomy, was performed. The two groups were compared for demographic characteristics, operative course, cost of intervention, and surgical outcome. Laparoscopic cholecystectomy for acute cholecystitis was accomplished with an acceptable morbidity and provided an earlier release from the hospital and return to normal activities with a significant economic savings as compared to the traditional open approach.

Key words

Laparoscopic cholecystectomy Acute cholecystitis 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Berci G, Sackier JM (1991) The Los Angeles experience with laparoscopic cholecystectomy. Am J Surg 161: 382–384Google Scholar
  2. 2.
    Cuschieri A, Dubois F, Mouiel J, et al (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161: 385–387Google Scholar
  3. 3.
    Flowers JL, Bailey RW, Scovill WA, et al (1991) The Baltimore experience with laparoscopic management of acute cholecystitis. Am J Surg 161: 388–392Google Scholar
  4. 4.
    Gadacz TR, Talamini MA (1991) Traditional versus laparoscopic cholecystectomy. Am J Surg 161: 336–338Google Scholar
  5. 5.
    Glenn OF (1981) Biliary tract disease. Surg Gyn & Obs 153: 401–402Google Scholar
  6. 6.
    Goodman GR, Hunter JG (1991) Results of laparoscopic cholecystectomy in a university hospital. Am J Surg 162: 576–579Google Scholar
  7. 7.
    Luna GK, Heimbach DM, Olson H, et al (1986) Hospital stay following biliary tract surgery. A comparison of two community hospitals. Arch Surg 121: 693–669Google Scholar
  8. 8.
    McSherry CK (1989) Cholecytectomy: the gold standard. Am J Surg 158: 174–178Google Scholar
  9. 9.
    Moss G, Regal ME, Lichtig L (1986) Reducing postoperative pain, narcotics, and length of hospitalization. Surg 99: 206–210Google Scholar
  10. 10.
    Munoz E, Tinker MA, Margolis I et al (1984) Surgonomics: The Cost of Cholecystectomy. Surg 96: 642–664Google Scholar
  11. 11.
    Olsen DO (1991) Laparoscopic cholecystectomy. Am J Surg 161: 339–344Google Scholar
  12. 12.
    Peters JH, Ellison EC, Innes JT, et al (1991) Safety and efficacy of laparoscopic cholecystectomy: a prospective analysis of 100 initial patients. Ann Surg 213: 3–12Google Scholar
  13. 13.
    Ponsky JL (1991) Complications of laparoscopic cholecystectomy. Am J Surg 161: 393–395Google Scholar
  14. 14.
    Sackier JM, Berci G (1990) Diagnostic and interventional laparoscopy for the general surgeon. Contemp Surg 37(4): 15–26Google Scholar
  15. 15.
    Scher KS, Scott-Conner CE (1987) Complications of biliary surgery. Am Surg 53: 16–21Google Scholar
  16. 16.
    Sullivan DM, Hood TR, Griffen WO Jr (1982) Biliary tract surgery in the elderly. Am J Surg 143: 218–220Google Scholar
  17. 17.
    Unger SW, Edelman DS, Scott JS, et al (1991) Laparoscopic treatment of acute cholecystitis. Surg Laparosc Endosc 1: 14–16Google Scholar
  18. 18.
    Vitale GC, Collet D, Larson GM, et al (1991) Interruption of professional and home activity after laparoscopic cholecystectomy among french and american patients. Am J Surg 161: 396–398Google Scholar
  19. 19.
    Vogt DP (1987) The biliary system. In: Davies JH (ed) Clinical surgery. CV Mosby Co, St. Louis, pp 1637–1680Google Scholar
  20. 20.
    Way J (1987) Gallstone disease. In: Way J, Pellegrini D (ed) Surgery of gallbladder and bile ducts. WB Saunders, Philadelphia pp 256–264Google Scholar

Copyright information

© Springer-Verlag New York Inc 1993

Authors and Affiliations

  • S. W. Unger
    • 1
  • G. Rosenbaum
    • 1
  • H. M. Unger
    • 1
  • D. S. Edelman
    • 2
  1. 1.Department of SurgeryMt. Sinai Medical Center of Greater MiamiMiami BeachUSA
  2. 2.Department of SurgeryBaptist Hospital of MiamiSouth MiamiUSA

Personalised recommendations