Polito Domenico Stefano, Florio Gaetano, Cisternino Silvestro, Pinna Guerino Francesco, Nazzaro Antonio, Fava Alfredo
Unità Operativa di Chirurgia Generale Ospedale San Giovanni Battista, ASL RM/G, Zagarolo, Roma.
Chir Ital. 2002 Jan-Feb;54(1):55-7.
Laparoscopic cholecystectomy is the gold standard for lithiasis of the gallbladder. Over the period from 1991 to 2000, the authors performed 1,321 videolaparoscopic cholecystectomies in the Surgical Division of San Giovanni Battista Hospital in Zagarolo (Rome). From January 1998 to December 2000, 390 of these patients were operated on consecutively utilising only three trocars. The authors report on this restricted subgroup of patients and stress that videolaparoscopic cholecystectomy is the treatment of choice. They claim that routine perioperative cholangiography is useless and that a fourth trocar is unnecessary.
腹腔镜胆囊切除术是胆囊结石的金标准。在1991年至2000年期间，作者在扎加罗洛（罗马）圣乔瓦尼·巴蒂斯塔医院外科进行了1321例电视腹腔镜胆囊切除术。从1998年1月至2000年12月，其中390例患者仅使用三个套管针连续进行手术。作者报告了这一有限的患者亚组，并强调电视腹腔镜胆囊切除术是首选治疗方法。他们声称常规围手术期胆管造影无用，且第四个套管针没有必要。
