腹腔镜胆囊切除术与开腹胆囊切除术的前瞻性比较
A prospective comparison of laparoscopic versus open cholecystectomy.
作者信息
Attwood S E, Hill A D, Mealy K, Stephens R B
机构信息
St James's Hospital, Dublin, Ireland.
出版信息
Ann R Coll Surg Engl. 1992 Nov;74(6):397-400.
Abstract
In one surgical unit, 115 patients undergoing cholecystectomy were studied to compare patient recovery, subjective and objective pain experienced and complications after laparoscopic and open cholecystectomy. The data were collected prospectively where allocation to open or laparoscopic cholecystectomy was by consecutive attendance. Laparoscopic cholecystectomy was feasible in 90% of patients presenting with symptomatic gallstones. Compared with the open operation, laparoscopic cholecystectomy was safe with less peroperative and postoperative morbidity, was more cost-effective and was associated with faster patient recovery as documented by less postoperative pain, earlier return to diet, earlier full mobilisation and discharge home. Laparoscopic cholecystectomy is superior to open cholecystectomy and should be available to all patients requiring elective cholecystectomy.
摘要
在一个外科病房，对115例行胆囊切除术的患者进行了研究，以比较腹腔镜胆囊切除术和开腹胆囊切除术后患者的恢复情况、主观和客观疼痛感受以及并发症。数据通过前瞻性收集，根据连续就诊情况分配行开腹或腹腔镜胆囊切除术。90%有症状胆结石患者可行腹腔镜胆囊切除术。与开腹手术相比，腹腔镜胆囊切除术更安全，术中及术后发病率更低，更具成本效益，且患者恢复更快，表现为术后疼痛减轻、更早恢复饮食、更早完全活动及出院回家。腹腔镜胆囊切除术优于开腹胆囊切除术，应提供给所有需要择期胆囊切除术的患者。
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