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P Testas

Publications and source records attributed to P Testas.

76 records · Page 5Linked to original sources
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[Laparoscopic cholecystectomy].

Laparoscopic digestive surgery is right now like a revolution. The author, after a short historic hommage to Raoul Palmer who in 1940 realized the first laparoscopy and also to Philippe Mouret and François Dubois who performed the first laparoscopic cholecystectomy in the world in 1987, is doing some comments. The comments are based in the experience of the author who performed in his surgical department about 400 cholecystectomies and another study realized with B. Delaitre on 6512 cases showing a decrease of morbidity however a dramatic increase of biliary complications from 1/1000 to 1% this leads the author to two types of reflexions. One based on technical problem especially in high frequency surgery, the other in training of this new surgical technic and also on rapid extension, sometime anarchistic, of the indications of this new digestive laparoscopic surgery. In conclusion, we have to performed clinical research before doing next applications of laparoscopic surgery and keep in mind the necessity for a new technic to be better for patients.

Absenteeism↗
PubMedDate not supplied

A prospective comparison of costs and morbidity of laparoscopic versus open cholecystectomy.

BACKGROUND/AIMS: The aims of this study were to compare pain and discomfort after laparoscopic cholecystectomy (LC) and open cholecystectomy (OC), and to quantify the costs of both procedures. MATERIAL AND METHODS: Seventy-six patients undergoing a LC were prospectively compared with 24 patients who had an OC. Pain was assessed with a visual analog scale, and two rating indexes, one day, three months, and six months postoperatively. Hospital costs per patients covered direct expenditures, hospital overhead and depreciation of equipment, and salaries allocated on a per-diem basis. RESULTS: Pain and discomfort were significantly lower in the LC group than in the OC group. Cost for the operation was higher after LC, and lower for post operative care (p < 0.001). Total costs of hospitalization were similar. The mean number of days out of work was less in the LC group (14.7 days) than in the OC group (35.5 days) and the difference of cost due to loss of productivity was significant (p < 0.0001). CONCLUSIONS: The advantages of LC must be counter-balanced with a higher rate of postoperative complications than after OC, mainly common bile duct injuries.

Cholecystectomy↗