al Hadi F H, Chiedozi L C, Salem M M, George T V, Desouky M, Pasha S M
Department of Surgery, Prince Abdul Rahman Al Sudairy Hospital, Sakaka, Al Jouf, Saudi Arabia.
East Afr Med J. 1998 Sep;75(9):536-9.
The initial 300 patients whose symptomatic cholelithiasis was managed by laparoscopic cholecystectomy (LC) were matched to and compared with 300 patients managed by open cholecystectomy (OC) during the 30 months prior to the introduction of LC. Of the 300 LC attempted 292 (97.3%) were successful with conversion to OC rate of 2.7%. Besides the obviously better cosmetic results, LC patients had less post operative pain, mean doses of opiates needed 0.01 versus 5 for OC (p < 0.0001), were discharged earlier from the hospital, mean 3.1 days versus 8 days for OC (p < 0.001) and had less postoperative complications 4% versus 11% for OC. We conclude that not only is LC a better operation than OC, but also that in the regional referral centres such as ours, LC can safely supplant OC as the preferred modality for the management of symptomatic cholelithiasis.
在腹腔镜胆囊切除术（LC）应用前的30个月里，选取300例有症状胆囊结石且接受腹腔镜胆囊切除术治疗的患者，将其与300例接受开腹胆囊切除术（OC）的患者进行匹配并比较。在尝试的300例LC手术中，292例（97.3%）成功，转为OC手术的比例为2.7%。除了明显更好的美容效果外，LC患者术后疼痛较轻，平均所需阿片类药物剂量为0.01，而OC患者为5（p<0.0001），出院更早，平均3.1天，而OC患者为8天（p<0.001），术后并发症更少，分别为4%和11%。我们得出结论，LC不仅是比OC更好的手术方式，而且在我们这样的区域转诊中心，LC可以安全地取代OC，成为治疗有症状胆囊结石的首选方式。
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