Függer R, Klimann S, Gnant M, Herbst F, Schulz F, Fritsch A
I. Chirurgische Universitätsklinik, Wien.
Wien Klin Wochenschr. 1992;104(20):640-3.
A report is presented on 105 patients who underwent laparoscopic cholecystectomy because of symptomatic gallstone disease. Preoperative and intraoperative findings, complications and results were prospectively documented. In four (3.8%) patients the laparoscopic procedure had to be converted into open cholecystectomy. There were only minor surgical complications such as wound infection and a subhepatic haematoma. On average, patients were discharged on the second postoperative day. The operating time decreased from a median of 98 minutes in the first half to 73 minutes in the second half of the study, despite augmentation of the number of surgeons and of the indications to include patients with acute cholecystitis (n = 11), previous upper abdominal surgery (n = 7) and cirrhosis (n = 2).
本文报告了105例因有症状的胆结石疾病而接受腹腔镜胆囊切除术的患者。前瞻性记录了术前和术中的发现、并发症及结果。4例(3.8%)患者的腹腔镜手术不得不转为开腹胆囊切除术。仅出现了诸如伤口感染和肝下血肿等轻微手术并发症。患者平均在术后第二天出院。尽管增加了外科医生数量以及扩大了适应证范围,将急性胆囊炎患者(n = 11)、既往有上腹部手术史患者(n = 7)和肝硬化患者(n = 2)纳入其中,但手术时间从研究前半段的中位数98分钟降至后半段的73分钟。