门诊腹腔镜胆囊切除术。一项对100例连续患者的前瞻性研究。

Outpatient laparoscopic cholecystectomy. A prospective study with 100 consecutive patients.

作者信息

Bringman S, Anderberg B, Heikkinen T, Nyberg B, Peterson E, Hansen K, Ramel S

机构信息

Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Minimally Invasive Surgery Stockholm (MISS), K53, SE-141 86, Stockholm, Sweden

出版信息

Ambul Surg. 2001 Jul;9(2):83-86. doi: 10.1016/s0966-6532(01)00076-2.

DOI:10.1016/s0966-6532(01)00076-2

PMID:11454486

Abstract

One hundred patients with cholelithiasis were included in a prospective consecutive follow-up study to evaluate laparoscopic cholecystectomy in a day surgical setting. The median operating time was 70 min. In 96% of the patients, it was possible to perform peroperative cholangiography. The median time off work was 7 days and the median time to full recovery was 14 days. Five patients were admitted due to weakness/nausea. Six patients were admitted due to conversion to open surgery or choledocholithiasis. Eighty-nine patients were treated in ambulatory surgery. We conclude that laparoscopic outpatient cholecystectomy can be performed safely with a low unplanned admission rate.

摘要

一百例胆石症患者纳入一项前瞻性连续随访研究，以评估日间手术环境下的腹腔镜胆囊切除术。中位手术时间为70分钟。96%的患者可行术中胆管造影。中位误工时间为7天，中位完全恢复时间为14天。5例患者因虚弱/恶心入院。6例患者因转为开腹手术或胆总管结石入院。89例患者接受门诊手术治疗。我们得出结论，腹腔镜门诊胆囊切除术可安全实施，计划外入院率低。