Frimberger E, Zillinger C, Classen M
Department of Internal Medicine II, Technical University, Munich, Germany.
Endoscopy. 1992 Oct;24(8):717-20. doi: 10.1055/s-2007-1010567.
Laparoscopic cholecystotomy (LCT) was attempted in 34 patients with biliary type symptoms; 33 patients suffered from gallbladder stones and one patient from gallbladder polyps. In one patient the gallbladder was not accessible with the laparoscope due to extensive adhesions. In the other patients endoscopic removal of stones and polyps was possible in all cases. In the first five patients the gallbladder was drained with a Foley type catheter at the end of the procedure; in the other patients the incision of the gallbladder was closed primarily with clips and fibrin glue. At the beginning of the series two cases of complications were observed: balloon catheter deflation due to material defect and postoperative bleeding into the gallbladder; after conventional cholecystectomy the two patients made an uneventful recovery. LCT is a one-session procedure suitable for removal of symptomatic stones in well functioning gallbladders with no restrictions concerning the composition, number or size of the stones.
对34例有胆道类型症状的患者尝试进行腹腔镜胆囊切开术（LCT）；33例患者患有胆囊结石，1例患者患有胆囊息肉。1例患者因广泛粘连，腹腔镜无法接近胆囊。在其他患者中，所有病例均可行内镜下结石和息肉切除。在前5例患者中，手术结束时用Foley型导管引流胆囊；其他患者的胆囊切口主要用夹子和纤维蛋白胶封闭。在该系列开始时观察到2例并发症：因材料缺陷导致球囊导管放气和术后胆囊内出血；常规胆囊切除术后，这2例患者恢复顺利。LCT是一种单次手术，适用于功能良好的胆囊中症状性结石的切除，对结石的成分、数量或大小没有限制。
