Stahlschmidt M, Lotz G W, Moergel K, Maurer T
Allgemeinchirurgische Abteilung, St. Vincenz- und Elisabeth-Hospitals Mainz.
Z Gastroenterol. 1992 Oct;30(10):713-6.
We report about a retrospective study of 861 conventional and 812 laparoscopic cholecystectomies (including one coelioscopic choledocholithotomy). In the conventionally operated group reoperation was required in 2.7% (1.4% relaparotomy, 1.3% secondary suture), mortality was 0.5%. After laparoscopic treatment the reoperation rate was 2% (10 relaparoscopies, 5 laparotomies, 2 secondary sutures), no mortality. Growing experience and better definition of contraindications for endoscopic cholecystectomy might improve our results in the future.
我们报告了一项对861例传统胆囊切除术和812例腹腔镜胆囊切除术（包括1例腹腔镜胆总管结石切除术）的回顾性研究。在传统手术组中，2.7%的患者需要再次手术（1.4%为再次开腹手术，1.3%为二次缝合），死亡率为0.5%。腹腔镜治疗后，再次手术率为2%（10例再次腹腔镜手术，5例开腹手术，2例二次缝合），无死亡病例。随着经验的增加以及对内镜胆囊切除术禁忌证的更明确界定，未来我们的结果可能会得到改善。
