Holme Jørgen Bendix, Skarderud Fredrik, Ahlburg Peter, Funch-Jensen Peter M
Kirurgisk Gastroenterologisk Afdeling L, Arhus Universitetshospital, Arhus Sygehus, DK-8000 Arhus C.
Ugeskr Laeger. 2005 Jun 13;167(24):2638-40.
In Denmark, outpatient laparoscopic cholecystectomy (LC) has been evaluated only in small studies.
The first 300 consecutive patients undergoing LC in a university hospital outpatient clinic were evaluated prospectively. Complications, lack of same-day discharge (SDD), postoperative symptoms, and possibilities for training were recorded.
The median length of surgery was 65 minutes. The conversion rate was 4%. The SDD failure rate was 23%. The percentage of readmissions was 5%. The mortality rate was 0%. Blood transfusions were given in two cases. Two umbilical port sites were infected and needed surgical drainage. No major bile duct injury occurred. Two cystic duct lesions and two small bile leaks from the gallbladder bed were diagnosed and treated. LCs" being performed by junior residents had no influence on the perioperative risks.
Outpatient LC is safe when performed by trainees under supervision.
在丹麦，仅在小型研究中对门诊腹腔镜胆囊切除术（LC）进行了评估。
对一家大学医院门诊连续接受LC的前300例患者进行前瞻性评估。记录并发症、未实现当日出院（SDD）情况、术后症状以及培训可能性。
手术中位时长为65分钟。中转率为4%。SDD失败率为23%。再入院率为5%。死亡率为0%。2例患者接受了输血。两个脐部穿刺孔部位发生感染，需要手术引流。未发生重大胆管损伤。诊断并处理了2例胆囊管病变和2例来自胆囊床的小胆漏。初级住院医师进行的LC对围手术期风险无影响。
在监督下由受训人员进行门诊LC是安全的。
