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[腹腔镜胆囊切除术。治疗有症状胆囊结石病的一种替代手术方法]

[Laparoscopic cholecystectomy. An alternative procedure in the treatment of symptomatic cholecystolithiasis].

作者信息

Wolff H, Noack F, Manger T, Krüger U

机构信息

Klinik für Chirurgie, Medizinischen Fakultät (Charité), Humboldt-Universität zu Berlin.

出版信息

Zentralbl Chir. 1991;116(2):129-36.

PMID:1828322
Abstract

The authors report about their first experiences concerning the treatment of gallbladder stones using a laparoscopic approach. 40 patients (33 female, 7 male) were treated with this new method. The age of the patients, who had undergone this procedure, varied from 24 to 76 years, the average age was 42 years. Our current indication is the symptomatical chronic gallbladder lithiasis. The average time of operation was 60 to 90 minutes. The mortality rate was zero. Slight operative bleeding from an accessory artery and vein occurred in two cases. This was controlled by electrocoagulation. We observed no complications in the postoperative phase. The patients were dismissed from the hospital on the 3. to 5. day. This method is very favourable with regard to the operative strain on the patients.

摘要

作者报告了他们使用腹腔镜方法治疗胆囊结石的首次经验。40例患者(33例女性,7例男性)接受了这种新方法治疗。接受该手术的患者年龄在24岁至76岁之间,平均年龄为42岁。我们目前的适应症是有症状的慢性胆囊结石。平均手术时间为60至90分钟。死亡率为零。两例出现来自副动脉和静脉的轻微手术出血,通过电凝控制。我们在术后阶段未观察到并发症。患者在第3至5天出院。就对患者的手术负担而言,这种方法非常有利。

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