[Laparoscopic cholecystectomy evolving].

Between March, 31, 1993 and December, 31, 1997 in the Ist Surgical Clinic was performed laparoscopic cholecystectomy on 1458 patients (1290 females). Clinical selection of patients was made also by preoperative echography. Cholelithiasis was present in 94% of cases. Chronic cholecystitis was detected in 77.7% of cases and acute cholecystitis in 19.13% of cases. Laparoscopic cholecystectomy was realised by retrograde dissection. Conversion to open cholecystectomy was made in 6.1% of cases. Associated laparoscopic operations: appendectomies, genital adnexectomies, omentectomies. In uncomplicated cases (98%), evolution was good with early postoperative mobilization and discharge after 48 hours.