Objective: This study aimed to compare the cost of hospitalization for open and laparoscopic cholecystectomy (OC and LC) among adult patients with cholelithiasis in the Philippine General Hospital. Methodology: The billing records of all patients admitted for elective cholecystectomy from February to July 2017, were reviewed. An item by item costing for room and board, laboratories, radiologic exams, surgical and anesthesia needs for each patient meeting the inclusion criteria was done. Results: From February to July 2017, a total of 391 cholecystectomies were performed; 156 cases (78 OC and 78 LC) were included in the analysis. There is no significant difference between the mean total cost for the laparoscopic group which was 20,549 +/- 4,972 pesos and 18,465 +/- 7,908 pesos (p < 0.05) for the open group. Conclusion Total cost of LC is comparable to OC. However, when the total expenses were divided into categories, the OC group incurred significantly bigger charges than the LC group in room and board, laboratories, radiology, pharmacy, and surgery needs. On the other hand, the LC group had significantly higher mean charges for the surgery needs inclusive of the laparoscopic machine and disposable instruments.
Cholecystectomy ; Cholecystectomy, Laparoscopic ; Laparoscopy

The laparoscopic surgery including laparoscopic diagnosis, laparoscopic surgery, abdominal laparoscopy and cervical laparoscopy. The Institute implemented 6058 operations comprising gynecological and obstetrical surgery in which there were 1003 patients receiving the laparoscopic surgery (16,56%) in 2000. The rate of the laparoscopic surgery / gynecological surgery was 1003/2791 = 35,94%. The common indication of endoscopy were infertility (41,48%), ectopic pregnancy (29,21%) cystic ovary (11,37%). 20 patients with the ectopic pregnancy changed from laparoscopic surgery to the traditional surgery. 2 cases in the abdominal endoscopy suffered complication. There was no complication in 82 cases of the cervical endoscopy. That indicated that the endoscopy is the safe surgery with the low complication
Cholecystectomy, Laparoscopic ; Laparoscopy ; surgery

Introduction-Methods: Laparoscopic Surgery is now widely developed throughout the world. The same thing does happen at Vietnam from 1992. This study aim to collect all data of Vietnamese Laparoscopic Surgery from 1992 up to now (1999) - by reports from 60 Institutes and hospitals throughout Vietnam as well as many published reports of Vietnamese doctors. By this, suggest the direction of laparoscopic surgery development in near future. Result: By the reports of 60 Institutes - Hospitals: 12 of central level- directly lead by the Ministry of health and 48 other ones (mainly provincial hospitals) Twenty six of them (43,3%) perform already laparoscopic surgery (LS). So 3/4 (75%) hospital lead by the Ministry of Health, and almost one third (35,5%) of other hospital has installed L.S. The total number of surgery is 22.351 cases of abdominal surgery, obstetric- gynecology, cardiovascular thoracic surgery, ENT with good results. Actual difficulties: financial support, material and equipment. Direction: development of LS to big provincial hospitals especially University Centers as well as performing of difficult operations of high quality and minimally invasive technique. Attention must be paid for the patient‘s safety, firstly for indication and surgical procedure. Conclusion: L.S is fairly developed in Viet nam (quantity and quality). It is needed further development. Particular attention must be paid for patient‘s safety (indication, surgical procedure). Local made equipment materials are preferable to reduce the medical fees
Laparoscopy ; Cholecystectomy, Laparoscopic ; surgery

The authors introduced about the application of laparoscopy in obstetrics and gynecology simultaneously, the authors also sum up to value the first results of laparoscopic surgery at Clinic B10, Hospital 103. During 2 years 1999-2000, the total of 28 surgeries performed by laparoscopy including ovary cyst, entopic pregnancy, Fallopian tubal infertility... showed many advantages
Laparoscopy ; Cholecystectomy, Laparoscopic ; surgery

With advancement of endoscopical instruments and technique, gallstone diseases can be managed with laparoscopic cholecystectomy which has rapidly and radically changed the surgical treatment of gallstone diseases. The ideas of laparoscopic surgery was introduced by Germany gynecologist Semm, in 1967 and was first performed by French surgeon Mouret, Dubois in 1987. Although many reports of early laparoscopic cholecystectomy were excellent, many surgeons want to know the surgical results of laparoscopic cholecystectomy are enough good to perform comparing with the conventional cholecystectomy, especially in early complications and late complications. (continue...)
Cholecystectomy ; Cholecystectomy, Laparoscopic* ; Gallstones ; Germany ; Laparoscopy

Traditionally, many innovations in digestive surgery were first evaluated using cholecystectomies in humans as an in vivo model. The large number of patients in good condition, the non-reconstructive nature of such an intervention, and the availability of a standardized operative technique for comparison are the main characteristics predisposing gallbladder surgery for assessment of new technologies. The first case of single-port laparoscopic cholecystectomy (SPLC) in the world was reported in 1997 by Navarra and the first case in Korea was reported in 2009. Since then, the use of SPLC has grown rapidly and several randomized controlled trials found that it is safe and feasible compared with conventional laparoscopic cholecystectomy. However, the true advantage of SPLC over conventional surgery remains controversial.
Cholecystectomy ; Cholecystectomy, Laparoscopic* ; Gallbladder ; Humans ; Korea ; Laparoscopy

No abstract available.
Hand-Assisted Laparoscopy*

No abstract available.
Hand-Assisted Laparoscopy

No abstract available.
Emergencies* ; Hand-Assisted Laparoscopy*

No abstract available.
Hand-Assisted Laparoscopy*