Coelho J C, Vizzoto A O, Salvalaggio P R, Tolazzi A R
Department of Surgery, Hospital N.S. Graças and Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil.
Dig Surg. 2000;17(4):344-7. doi: 10.1159/000018876.
BACKGROUND/AIMS: The management of patients with silent or asymptomatic gallstones remains controversial. The objective of this study is to determine the complications of laparoscopic cholecystectomy performed to treat patients under 50 years of age with asymptomatic gallstones.
207 patients, 13-49 years of age with asymptomatic gallstones, were subjected to laparoscopic cholecystectomy. There were 161 (78%) women and 46 (22%) men.
Operative time varied from 25 to 95 min, with an average of 42 min. The length of hospitalization varied from 12 h to 2 days. In no patient was the operation converted to laparotomy. There was neither mortality nor major complications. The following minor complications were observed: vomiting in 43 patients (20.7%), fever in 16 (7.7%), minor skin infection in 7 (3.3%), and keloid in 2 (0. 9%).
It is concluded from this study that laparoscopic cholecystectomy is a safe procedure in the treatment of patients under 50 years of age with asymptomatic gallstones.
背景/目的：无症状胆结石患者的治疗仍存在争议。本研究的目的是确定对50岁以下无症状胆结石患者进行腹腔镜胆囊切除术的并发症。
207例年龄在13至49岁之间的无症状胆结石患者接受了腹腔镜胆囊切除术。其中女性161例（78%），男性46例（22%）。
手术时间从25分钟到95分钟不等，平均为42分钟。住院时间从12小时到2天不等。没有患者转为开腹手术。既无死亡病例，也无严重并发症。观察到以下轻微并发症：43例患者出现呕吐（20.7%），16例发热（7.7%），7例轻微皮肤感染（3.3%），2例瘢痕疙瘩（0.9%）。
本研究得出结论，腹腔镜胆囊切除术是治疗50岁以下无症状胆结石患者的安全手术。
