Herzog U, Kocher T, Looser C, Schuppisser J P, Ackermann C, Tondelli P
Allgemeinchirurgische Abteilung und Röntgenabteilung, St. Claraspital, Basel.
Dtsch Med Wochenschr. 1992 May 15;117(20):775-81. doi: 10.1055/s-2008-1062375.
Of 467 cholecystectomies (performed between 13. 6. 1990 and 12. 9. 1991) 278 were done by laparoscopy (196 women, 82 men; mean age 53 [18-86] years). Contraindications to a laparoscopic procedure were acute cholecystitis, severe chronic cholecystitis with adhesions, abnormal clotting and suspected gallbladder carcinoma. In 31 patients (11.1%) the initial laparoscopic cholecystectomy was continued as a conventional cholecystectomy, usually because of unclear conditions in severe chronic cholecystitis. Mean duration of hospital stay was 6.3 days for the laparoscopic procedure compared with 11.5 days for the conventional one. Complications occurred in four patients (in 12 with the conventional method): one occlusion (by clip) of the common bile duct, one bile leak, one bleeding and one pneumothorax, requiring re-operation in three patients. There were no deaths (compared with two in the conventional group). Assuming correct indications, laparoscopic cholecystectomy is a sparing method for the treatment of cholecystolithiasis.
在1990年6月13日至1991年9月12日期间进行的467例胆囊切除术中，278例采用腹腔镜手术（196例女性，82例男性；平均年龄53岁[18 - 86岁]）。腹腔镜手术的禁忌证包括急性胆囊炎、伴有粘连的严重慢性胆囊炎、凝血异常以及疑似胆囊癌。31例患者（11.1%）最初的腹腔镜胆囊切除术转为传统胆囊切除术，通常是因为严重慢性胆囊炎情况不明。腹腔镜手术的平均住院时间为6.3天，而传统手术为11.5天。4例患者出现并发症（传统手术组有12例）：1例胆总管（夹子）堵塞、1例胆漏、1例出血和1例气胸，3例患者需要再次手术。无死亡病例（传统手术组有2例死亡）。假设适应证正确，腹腔镜胆囊切除术是治疗胆囊结石的一种微创方法。
