Kartal A, Aksoy F, Vatansev C, Sahin M, Yilmaz O, Belviranli M, Karahan O
University of Selcuk, School of Medicine, Department of Surgery, Konya, Turkey.
JSLS. 2001 Oct-Dec;5(4):309-12.
Laparoscopic cholecystectomy is the preferred treatment for symptomatic cholelithiasis. Severe local inflammation and scar formation are commonly responsible for conversion to open surgery. Fibrosuppressive effects of estrogen on peritoneal inflammatory conditions could provide low, dense fibrosis or scar formation around the gallbladder and make laparoscopic cholecystectomy easier in women and we believe that male sex is a conversion factor in laparoscopic cholecystectomy.
腹腔镜胆囊切除术是有症状胆结石的首选治疗方法。严重的局部炎症和瘢痕形成通常是转为开腹手术的原因。雌激素对腹膜炎症状况的纤维抑制作用可使胆囊周围形成低度、致密的纤维化或瘢痕,从而使女性进行腹腔镜胆囊切除术更容易,并且我们认为男性是腹腔镜胆囊切除术中转开腹的一个因素。