Voiculescu S, Jitea N, Burcoş T, Cristian D, Angelescu N
Chirurgia (Bucur). 2000 Sep-Oct;95(5):397-9.
Between 1995-1999 in Colţea Surgical Clinic were performed 2498 laparoscopic operations (1957 cholecystectomies, 541 other procedures). The laparoscopic approach consisted in 1 to 6 ports of 5 to 12 mm. Conversional rate was, 176% and reintervention was required in 0.76% of cases. In 4 cases (0.10%) parietal bleeding imposed conversion or early reintervention. Parietal emphysema was not significant in our trial. Wound infection or chondritis occurred in 0.72% of cases; only one patient had to be reoperated. Post-incisional hernia developed in 0.08% of patients. We don't treat patients with cancer by laparoscopic approach, but the 4 patients with unknown neoplasia in our trial didn't develop port metastases. Our trial suggests the real benefit of the laparoscopic approach also concerning parietal morbidity.
1995年至1999年间，科尔泰亚外科诊所共进行了2498例腹腔镜手术（1957例胆囊切除术，541例其他手术）。腹腔镜手术入路包括1至6个5至12毫米的切口。中转率为1.76%，0.76%的病例需要再次干预。4例（0.10%）发生腹壁出血，导致中转或早期再次干预。在我们的试验中，腹壁气肿并不严重。0.72%的病例发生伤口感染或软骨炎；只有1例患者需要再次手术。0.08%的患者发生切口后疝。我们不采用腹腔镜方法治疗癌症患者，但我们试验中的4例肿瘤性质不明的患者未发生切口转移。我们的试验表明，腹腔镜手术在腹壁发病率方面也具有实际益处。
