Leahy A L, Bouchier-Hayes D B, Hyland J M, Delaney P V, O'Sullivan G, Keane F B
Department of Surgery, Beaumont Hospital, Dublin.
Ir J Med Sci. 1992 Jun;161(6):410-3. doi: 10.1007/BF02996205.
There are many concerns about the widespread introduction of laparoscopic cholecystectomy. The initial experience of five hospitals in introducing laparoscopic cholecystectomy was reviewed. Three hundred and eight patients were operated upon, and the operations were completed laparoscopically in 279 (91 percent). One patient sustained a diathermy injury to the right hepatic duct. There was no mortality and the overall morbidity was 10 percent. Mean postoperative stay was 3.6 days. The participating surgeons considered training workshops to be desirable and felt that trainees should be supervised for at least ten cases. Laparoscopic cholecystectomy can be safely introduced and performed, and it should be considered in all patients undergoing cholecystectomy.
人们对腹腔镜胆囊切除术的广泛应用存在诸多担忧。回顾了五家医院引入腹腔镜胆囊切除术的初步经验。共有308例患者接受了手术，其中279例（91%）通过腹腔镜完成了手术。1例患者右肝管发生了电灼损伤。无死亡病例，总体发病率为10%。术后平均住院时间为3.6天。参与手术的外科医生认为培训讲习班是必要的，并认为应对实习生至少进行十例手术的监督。腹腔镜胆囊切除术可以安全地引入和实施，所有接受胆囊切除术的患者都应考虑采用该术式。
