Laparoscopic cholecystectomy for 12 patients with complex abdominal adhesion

Objective Evaluate the feasibility and safety of laparoscopic cholecystectomy (LC) for 12 patients with complex abdominal adhesion due to multiple previous surgeries. Methods 12 patients who had undergone multiple different kinds of abdominal surgeries were given LC and the data of all the patients were reviewed. Results LC were successfully performed in 11 of the 12 patients. 1 patient was converted to open cholecystectomy. The operative time was 33-108 minutes (mean 59.3±17.2). 3-6 Trocars were used for the operation. Patients were discharged after 3-8 days (mean 4.2±1.5). All patients who were followed up for 6 months had no bleeding, bile leakage, bile duct injury and any other complications. Conclusions As the advantages of small trauma and faster postoperative recovery, LC was safe and feasible for patients with complex abdominal adhesion due to multiple previous surgeries. Key words: Laparoscopic cholecystectomy; Complex adhesion; Multiple previous abdominal surgeries