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[腹腔镜胆囊切除术:该方法的适应症及安全性。基于连续300例患者的研究]

[Cholecystectomy by celioscopy: indications and safety of the method. Apropos of a consecutive series of 300 patients].

作者信息

Navez B, Guiot P, Boutsen M, Rémy P, Krick M, Delmarche C

机构信息

Service de Chirurgie Générale (Digestive et Urologique), Hôpital Saint-Joseph, Gilly, Belgique.

出版信息

Ann Chir. 1992;46(7):610-4.

PMID:1456692
Abstract

We performed a laparoscopic cholecystectomy in 300 patients with gallstone disease complicated or not. The rate success was 97%, however involved the pathology might be. Indeed, 15% of the patients had an acute cholecystitis (10% catarrhalis, 5% empyema). Twenty-four patients with common bile duct stones had a complete endoscopic management of the biliary disease: endoscopic sphincterotomy and laparoscopic cholecystectomy. Operative mortality was absent and overall morbidity was 3.7%, exclusively minor.

摘要

我们对300例有无并发症的胆结石病患者进行了腹腔镜胆囊切除术。无论涉及何种病理情况,成功率均为97%。实际上,15%的患者患有急性胆囊炎(10%为卡他性,5%为积脓)。24例胆总管结石患者对胆道疾病进行了完整的内镜治疗:内镜括约肌切开术和腹腔镜胆囊切除术。无手术死亡病例,总体发病率为3.7%,均为轻微病例。

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