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April 1992

Twelve Hundred Open Cholecystectomies Before the Laparoscopic Era: A Standard for Comparison

Author Affiliations

From the Departments of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif (Drs Morgenstern, Wong, and Berci), and University of California School of Medicine, Los Angeles (Drs Morgenstern and Berci).

Arch Surg. 1992;127(4):400-403. doi:10.1001/archsurg.1992.01420040042006

• Records of 1200 consecutive open cholecystectomies, performed by a teaching service of a large, urban hospital in the years immediately preceding the laparoscopic era, were reviewed for morbidity and mortality rates. The mortality rate in this series was 1.8%, chiefly in the older age groups. Only two ductal injuries were incurred. A review of published series from 1952 through 1990 revealed a mean mortality rate of 1.53%. These recent observations on the morbidity and mortality after open operation should provide a useful standard of comparison with ongoing similar studies of laparoscopic cholecystectomy.

(Arch Surg. 1992;127:400-403)

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