Haicken B N
Surg Endosc. 1992 Nov-Dec;6(6):285-8. doi: 10.1007/BF02498861.
Tube cholecystostomy was offered to 100 patients undergoing laparoscopic cholecystectomy as an alternative to open surgery should the gallbladder be found too severely inflamed for safe removal. At the time of surgery, three of the 100 patients had gallbladders judged too severely inflamed for laparoscopic cholecystectomy. They therefore underwent laparoscopic placement of a cholecystostomy tube. The patients received 48 h of antibiotics in the hospital and then underwent tube drainage for 4-6 weeks as outpatients. They returned to the hospital for interval laparoscopic cholecystectomy. The three patients underwent successful interval laparoscopic cholecystectomy. There were no complications. Of the 100 patients in the study, conversion to open cholecystectomy was not necessary for any of the patients. Tube cholecystostomy is a safe and effective procedure. It should reduce the number of patients who require open surgery for removal of the gallbladder.
对于100例行腹腔镜胆囊切除术的患者，若术中发现胆囊炎症过于严重，无法安全切除，可选择胆囊造瘘术作为开腹手术的替代方案。手术时，100例患者中有3例的胆囊被判定炎症过于严重，无法行腹腔镜胆囊切除术。因此，他们接受了腹腔镜下胆囊造瘘管置入术。患者在医院接受了48小时的抗生素治疗，然后作为门诊患者进行了4 - 6周的造瘘管引流。他们返回医院接受间隔期腹腔镜胆囊切除术。这3例患者均成功接受了间隔期腹腔镜胆囊切除术，且无并发症发生。在该研究的100例患者中，没有任何患者需要转为开腹胆囊切除术。胆囊造瘘术是一种安全有效的手术方式。它应能减少需要通过开腹手术切除胆囊的患者数量。
