科威特一家教学医院的2750例腹腔镜胆囊切除术。
Laparoscopic cholecystectomy in 2,750 cases in a teaching hospital in Kuwait.
作者信息
Hasaniah Wael Fathi, Ghada Ibrahim, Sabah Al-Hadeedi, Sulaiman Al-Hader, Jamal Mohamed J, Derar Sultan Al-Shehab
机构信息
Department of Surgery, Al-Amiri Hospital, Kuwait.
出版信息
Med Princ Pract. 2002 Oct-Dec;11(4):176-9. doi: 10.1159/000065811.
OBJECTIVE
To retrospectively analyse all laparoscopic cholecystectomies performed between April 1992 and May 1999.
METHODS
Medical records of 2,750 patients, clinically diagnosed with gall bladder disease, were reviewed. We analysed the operative time, length of postoperative hospital stay, conversion rate, intra- and postoperative complications as well as management outcome.
RESULTS
The mean operative time was 59.2 min, and the mean postoperative hospital stay was 1.46 days. However, the majority of our patients (66.8%) were discharged after 1 day. The conversion rate was 3.8%, which was mainly due to acute gall bladder pathology. The postoperative complication rate was 4.6%; all cases were managed successfully with no mortality or delayed morbidity.
CONCLUSION
Our findings indicate that laparoscopic cholecystectomy appears to be a safe and effective procedure with low morbidity and no mortality. Therefore, it should be considered as the procedure of choice for patients with gall bladder disease.
目的
回顾性分析1992年4月至1999年5月期间实施的所有腹腔镜胆囊切除术。
方法
查阅2750例临床诊断为胆囊疾病患者的病历。我们分析了手术时间、术后住院时间、中转率、术中和术后并发症以及治疗结果。
结果
平均手术时间为59.2分钟，平均术后住院时间为1.46天。然而，大多数患者（66.8%）在术后1天出院。中转率为3.8%，主要原因是急性胆囊病变。术后并发症发生率为4.6%；所有病例均成功处理，无死亡或延迟发病情况。
结论
我们的研究结果表明，腹腔镜胆囊切除术似乎是一种安全有效的手术，发病率低且无死亡率。因此，对于胆囊疾病患者，应将其视为首选手术方式。
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