Salky B A, Bauer J J, Kreel I, Gelernt I M, Gorfine S R
Mt. Sinai Hospital, New York, New York.
Gastrointest Endosc. 1991 Jan-Feb;37(1):1-4. doi: 10.1016/s0016-5107(91)70611-1.
Sixty consecutive patients underwent an elective attempt at laparoscopic cholecystectomy between March 15 and July 31, 1990 at the Mount Sinai Hospital in New York. Fifty-two patients had successful completion of the laparoscopic cholecystectomy (87%). The reasons for conversion to open cholecystectomy were acute cholecystitis (four patients), inability to define the cystic duct-common duct junction (three patients), and one patient with an unexpected choledochal cyst variant. Forty patients (77%) were discharged on the first post-operative day, and the remaining 12 patients on the second post-operative day. Thirty-three patients (63%) required only oral pain medication, and 11 patients (21%) needed no pain medication post-operatively. Fifty-one patients (98%) had resumed normal activities by the seventh post-operative day. Cholecystectomy remains the treatment of choice for biliary colic. Laparoscopic cholecystectomy minimizes length of stay in the hospital, lessens post-operative pain, allows quicker return to normal activities, and has a superior cosmetic result.
1990年3月15日至7月31日期间，纽约西奈山医院连续60例患者接受了择期腹腔镜胆囊切除术。52例患者成功完成了腹腔镜胆囊切除术（87%）。转为开腹胆囊切除术的原因包括急性胆囊炎（4例患者）、无法明确胆囊管-胆总管交界处（3例患者）以及1例患有意外胆总管囊肿变异的患者。40例患者（77%）在术后第一天出院，其余12例患者在术后第二天出院。33例患者（63%）仅需口服止痛药物，11例患者（21%）术后无需止痛药物。51例患者（98%）在术后第七天恢复了正常活动。胆囊切除术仍然是胆绞痛的首选治疗方法。腹腔镜胆囊切除术可缩短住院时间，减轻术后疼痛，使患者更快恢复正常活动，并且具有更好的美容效果。
