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Cholecystectomy Concomitant With Other Intra-abdominal OperationsAssessment of Risk
Paul J. Kovalcik, MD;
Michael J. Burrell, MD;
W. Levi Old, Jr, MD
Arch Surg. 1983;118(9):1059-1062.
Abstract
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• In a retrospective study, 1,416 cholecystectomies performed during a three-year period were reviewed to define the risk of cholecystectomy when combined with another intra-abdominal procedure. Group 1, cholecystectomy alone (1,148 patients), with subsets of cholangiography and/or common bile duct exploration, had a complication rate of 14.29% and a mortality of 0.52%. Group 2, primary cholecystectomy combined with secondary intra-abdominal surgery (214 patients), had a complication rate of 19.63%. Group 3, primary intra-abdominal surgical procedure with incidental cholecystectomy (54 patients), had a complication rate of 20.37%. Mortality for groups 2 and 3 was 2.24%. The rate of nonfatal complications was increased slightly when a second surgical procedure was performed (14.29%  19.78%). Pairing cholecystectomy with other intra-abdominal surgery is advised only when surgical exposure is adequate, the patient's condition is satisfactory, and operating time is not prolonged greatly.
(Arch Surg 1983;118:1059-1062)
Author Affiliations
From the Department of Surgery, Eastern Virginia Medical School, Norfolk.
Footnotes
Accepted for publication March 7, 1983.
Reprint requests to Suite 406, DePaul Medical Building, Norfolk, VA 23505 (Dr Old).
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