Laparoscopic cholecystectomy.

This article describes the first 50 laparoscopic cholecystectomies emphasizing the two-handed technique that is currently used at Marietta Surgical Center, Marietta, Georgia. This procedure has become primarily an outpatient procedure with resumption of normal activities in 7 days (including athletics). Two patients in this series had complications. One patients was converted to an open procedure because of a common duct injury. The other patient developed a biloma 2 weeks following surgery and recovered uneventfully following paracentesis on an outpatient basis.