Dubois F, Berthelot G, Levard H
Department of Surgery, Hospital International, University of Paris, France.
Surg Laparosc Endosc. 1991 Mar;1(1):52-7.
Operative laparoscopy has been an important diagnostic and therapeutic method in gynecological surgery for more than 15 years. Laparoscopic gastrointestinal surgery has only recently become accepted among general surgeons. Laparoscopic appendectomy was the first such procedure performed, in 1983, followed by cholecystectomy in 1987. Laparoscopic biliary tract surgery has been shown to offer the patient a number of advantages in patient care, such as reducing the length of hospitalization and recovery, minimizing postoperative pain and discomfort, and nearly eliminating the disfigurement associated with a major abdominal operation. Although initially offered only to those patients with uncomplicated biliary tract disease, this procedure is now safely performed in individuals with acute cholecystitis and choledocholithiasis. We describe the development of laparoscopic gastrointestinal surgery in Europe as well as our method of performing endoscopic cholecystectomy. The current results of 690 laparoscopic cholecystectomies performed at our institution are included.
手术腹腔镜检查在妇科手术中作为一种重要的诊断和治疗方法已有15年多的历史。腹腔镜胃肠手术直到最近才被普通外科医生所接受。1983年进行了首例腹腔镜阑尾切除术，随后1987年进行了腹腔镜胆囊切除术。腹腔镜胆道手术已被证明在患者护理方面为患者提供了许多优势，例如缩短住院时间和恢复时间、将术后疼痛和不适降至最低，以及几乎消除与大型腹部手术相关的毁容。尽管最初只提供给患有非复杂性胆道疾病的患者，但现在该手术已能安全地应用于急性胆囊炎和胆总管结石患者。我们描述了欧洲腹腔镜胃肠手术的发展以及我们进行内镜胆囊切除术的方法。还包括了我们机构进行的690例腹腔镜胆囊切除术的当前结果。
