Osborne Dana A, Alexander Gerald, Boe Brian, Zervos Emmanuel E
Department of Surgery, College of Medicine, University of South Florida, Tampa, FL, USA.
Surg Technol Int. 2006;15:81-5.
Laparoscopic cholecystectomy is one of the most commonly undertaken procedures in General Surgery with more than 500,000 performed annually. Overall, the complication rate is less than 1.5%, and the mortality rate is less than 0.1%. As such, laparoscopic cholecystectomy was considered by most to be at its zenith since its inception in the early 1990 s. Advancements in technology and equipment have opened new doors to physicians and allowed the laparoscopic cholecystectomy to once again evolve. Traditional four-port cholecystectomy has given way to three- and even two-port techniques. Standard 12-mm ports have been replaced by 2-mm ports, and experiments have now been implemented to achieve cholecystectomy with no ports-known as the transgastric technique. The authors reviewed evolution of these techniques that included a synopsis of our experience with the three-port cholecystectomy, as well as the future direction of laparoscopic surgery.
腹腔镜胆囊切除术是普通外科最常开展的手术之一，每年实施超过50万例。总体而言，并发症发生率低于1.5%，死亡率低于0.1%。因此，自20世纪90年代初问世以来，大多数人认为腹腔镜胆囊切除术已臻成熟。技术和设备的进步为医生们打开了新的大门，使得腹腔镜胆囊切除术得以再次发展。传统的四孔胆囊切除术已被三孔甚至两孔技术所取代。标准的12毫米端口已被2毫米端口所替代，现在已经开展了无需端口的胆囊切除术实验——即经胃技术。作者回顾了这些技术的发展历程，包括我们三孔胆囊切除术的经验概要以及腹腔镜手术的未来方向。
