Laparoscopic Vs Open Surgery
- Very small incisions (3 to 4) and in selected cases even 1 incision! (Single Port Access Surgery)
- Fast recovery time (one night hospital stay)
- Minimal postoperative pain
- Lower morbidity rate
- Lower hospital stay
- Return to normal activity and return to work in shorter period of time (complete recovery in 5 to 7 days)
- Decreased risk of wound infection and hernia formation
- Minimal scarring
Complications (All rare in experienced hands)
- Wound infection 1 to 4%
- Bleeding <1%
- Pancreatitis <0.3%
- Bile leak 0.7%
- Retained common duct stone <5%
- Bile duct injury 0.4%
- Conversion to open surgery less than 5%. **
**Conversion should never be considered as a failure, but as a tool, when Dr. Rosales decides that the laparoscopic approach might lead to unnecessary complications. Factors that contribute to the need to convert to an open procedure are:
- Increased patient age
- Elevated American Society of Anesthesiologists (ASA) Class
- Extreme Obesity
- Thickened gallbladder wall
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