Cohen M M
Department of Surgery, Rose Medical Center, Denver, CO 80220.
Can J Surg. 1992 Feb;35(1):59-63.
The safety of laparoscopic cholecystectomy and the necessary training are serious concerns. This report describes both the surgical experience and the training and credentialling process at a private community-based teaching hospital. All 140 laparoscopic cholecystectomies attempted during the initial 9-month experience (March to December 1990) of 11 surgeons are detailed. There were no deaths. Eight patients subsequently underwent open cholecystectomy, and another two patients required reoperation for complications, which included one common-duct transection. The mean operating time was 106 minutes, the mean hospital stay was 1.6 days and most patients resumed unrestricted activity within 1 week. Use of the laser in 49% of patients was of no discernible benefit. This early experience indicates that laparoscopic cholecystectomy is both safe and effective and should be considered the technique of choice for elective cholecystectomy.
腹腔镜胆囊切除术的安全性及必要的培训是备受关注的重要问题。本报告描述了一家私立社区教学医院的手术经验以及培训和资格认证过程。详细介绍了11位外科医生在最初9个月（1990年3月至12月）的经验中尝试的所有140例腹腔镜胆囊切除术。无死亡病例。8例患者随后接受了开腹胆囊切除术，另有2例患者因并发症需要再次手术，其中包括1例胆总管横断。平均手术时间为106分钟，平均住院时间为1.6天，大多数患者在1周内恢复了正常活动。49%的患者使用激光并无明显益处。这一早期经验表明，腹腔镜胆囊切除术既安全又有效，应被视为择期胆囊切除术的首选技术。
