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[经小切口胆囊切除术]

[Cholecystectomy with minilaparotomy].

作者信息

Carbajal Ramos A, Núñez González E, Grau Cobos L

机构信息

Torre Médica, 1. de Oct. ISSSTE.

出版信息

Rev Gastroenterol Mex. 1991 Jul-Sep;56(3):171-4.

PMID:1822013
Abstract

Carl Langenbuch realized in Germany in 1882, the first cholecystectomy. On this century of experience, the technique has been converted in a classic way. Since 1910, it was converted on the gold standard in the treatment of the cholelithiasis, place that it still conserve. In the last three years, with the apparition of the endoscopy techniques, and the minimum access idea, the way of carrying it out has changed. Merril in United States of America reports 82 cases of cholecystectomy through incisions from 4 to 6 cms of longitude, with good results. We present the first 15 cases of cholecystectomy through wounds of 3-5 cms made for the authors and review the results. We concluded that should join a major casuistic to evaluate the place that these techniques could ocupate.

摘要

1882年,卡尔·兰根布赫在德国完成了首例胆囊切除术。在这一个世纪的经验中,该技术已经以经典的方式转变。自1910年以来,它已转变为治疗胆结石的金标准,至今仍保持这一地位。在过去三年里,随着内镜技术的出现以及微创理念的兴起,其实施方式发生了改变。美国的梅里尔报告了82例通过4至6厘米长切口进行的胆囊切除术,效果良好。我们展示了作者所做的首例15例通过3至5厘米伤口进行的胆囊切除术,并回顾了结果。我们得出结论,应该纳入更多病例来评估这些技术可能占据的地位。

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