{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T19:24:15Z","timestamp":1794079455947,"version":"4.8.0"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. )It is considered as the gold standard treatment for cholelithiasis.  Aim: To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital.  Methods: Data of 492 patients who underwent laparoscopic cholecystectomy were retrospectively reviewed. Patients\u2019 demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, intra and postoperative complications, and hospital stay were collected and analyzed from patients\u2019 files.  Results: Out of 492 patients, 386 (78.5%) were females and 106 (21.5%) males. The mean age of the patients was 49.35\u00b18.68 years. Mean operative time was 65.94\u00b111.52 min. Twenty-four cases (4.9%) were converted to open surgery, four due to obscure anatomy (0.8%), 11 due to difficult dissection in Calot\u2019s triangle (2.2%) and nine by bleeding (1.8%). Twelve (2.4%) cases had biliary leakage, seven (1.4%) due to partial tear in common bile duct, the other five due to slipped cystic duct stables. Mean hospital stay was 2.6\u00b11.5 days. Twenty-one (4.3%) developed wound infection. Port site hernia was detected in nine (1.8%) patients. There was no cases of bowel injury or spilled gallstones. There was no mortality recorded in this series.  Conclusions: Laparoscopic cholecystectomy is a safe and effective line for management of gallstone disease that can be performed with acceptable morbidity at a secondary hospital.<\/jats:p>","DOI":"10.1590\/0102-672020180001e1347","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T19:47:24Z","timestamp":1530128844000},"source":"Crossref","is-referenced-by-count":27,"title":["OUTCOME OF LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH GALLSTONE DISEASE AT A SECONDARY LEVEL CARE HOSPITAL"],"prefix":"10.1590","volume":"31","author":[{"given":"Ahmed","family":"TAKI-ELDIN","sequence":"first","affiliation":[{"name":"General Surgery Department,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abd-Elnaser","family":"BADAWY","sequence":"additional","affiliation":[{"name":"Northern Border University,  Saudi 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