Udwadia T E, Patil S U, Udwadia R T, Bhandarkar D S
Department of Surgery, J.J. Hospital, Bombay, India.
Int Surg. 1992 Jul-Sep;77(3):149-53.
The first 100 cases of laparoscopic cholecystectomy carried out in a "developing country" are studied. There were 77 females and 23 males. The mean age was 48 years (24-82 years). There was no mortality and 2% morbidity. The mean operative time was two hours and 15 minutes in the first 50 cases, one hour and 50 minutes in the subsequent 50. Twelve cases were converted to open surgery, nine within the first 50 cases, three in the subsequent 50. In developing countries the challenge of financial constraints as also a different spectrum of abdominal pathology calls for greater efforts of innovation and improvization. However, the rewards of laparoscopic cholecystectomy as compared to open cholecystectomy are significant in developing countries in terms of shorter hospitalisation (3.6 vs. 13 days), early return to work (12 vs. 36 days), better hospital bed utilization, and reduced expense.
对一个“发展中国家”开展的首批100例腹腔镜胆囊切除术病例进行了研究。其中女性77例，男性23例。平均年龄为48岁（24 - 82岁）。无死亡病例，发病率为2%。前50例的平均手术时间为2小时15分钟，后50例为1小时50分钟。12例转为开腹手术，其中前50例中有9例，后50例中有3例。在发展中国家，资金限制的挑战以及腹部病理情况的差异需要更大的创新和改进努力。然而，与开腹胆囊切除术相比，腹腔镜胆囊切除术在发展中国家具有显著优势，包括住院时间更短（3.6天对13天）、更早恢复工作（12天对36天）、更好地利用医院床位以及降低费用。
