The overall complication rate was 17.1% (64/374) including perforation of the gallbladder during dissection was 11.2% (42/374); bleeding occurred in 21 patients (5.6%) of whom 3 patients had bleeding from the cystic artery (0.8%) and 2 patients had to convert to open surgery for hemostasis; injury of the hepatic duct occurred in 1 patient (0.3%).