Ekelund G, Edlund G, Smedberg S, Rudberg C, Johnsson F
Kirurgiska kliniken, Universitetssjukhuset MAS, Malmö.
Lakartidningen. 2000 Aug 9;97(32-33):3457-62.
The literature has been searched for current results in laparoscopic cholecystectomy, hernia repair, appendectomy and fundoplication. This was performed as a systematic review. Laparoscopic cholecystectomy was judged to be safe and cost/effective, with good patient acceptability. However a need for further studies is indicated. Laparoscopic technique in hernia repair has a longer learning curve and is more expensive than open repair, with no major difference in recurrence rates. It is preferable in bilateral repairs. Laparoscopic appendectomy in the hands of experienced surgeons is cost/effective. Time to recovery is shorter and the rate of infectious complications is lower than in conventional procedures. There are still too few results reported from laparoscopic fundoplication to permit reliable conclusions.
我们检索了有关腹腔镜胆囊切除术、疝修补术、阑尾切除术和胃底折叠术的最新研究结果。这是一项系统评价。腹腔镜胆囊切除术被认为是安全且具有成本效益的，患者接受度良好。然而，仍表明需要进一步研究。腹腔镜疝修补术的学习曲线较长，且比开放手术更昂贵，复发率没有显著差异。双侧修补时更适合采用腹腔镜手术。在经验丰富的外科医生手中，腹腔镜阑尾切除术具有成本效益。恢复时间更短，感染并发症发生率低于传统手术。腹腔镜胃底折叠术的报告结果仍然太少，无法得出可靠结论。
