Waninger J, Salm R, van Hüllen C, Farthmann E H
Abteilung Allgemeine Chirurgie mit Poliklinik, Universität Freiburg.
Fortschr Med. 1991 Jun 30;109(19):392-6.
In a short space of time, laparoscopic cholecystectomy has become the operative treatment of choice in cholecystolithiasis. The performance of the operation, however, requires complex equipment, and became at all possible only with the aid of video technology. The indication depends both on the patient's symptoms and the experience of the operator. Prior surgery in the upper abdomen and complications of gallstones are considered relative contraindications, and portal hypertension an absolute contraindication. The advantages of this minimally invasive operative procedure are the minimal traumatization and improved postoperative well-being. The need for pain-killer is low, gastric tube and selective drainage are not required. Dietary build-up and mobilization are possible early on. Postoperative hospitalization is 2 to 3 days. The future will bring further developments in the field of laparoscopic operative interventions.
在短时间内，腹腔镜胆囊切除术已成为胆囊结石的首选手术治疗方法。然而，该手术的实施需要复杂的设备，并且只有借助视频技术才完全可行。手术指征既取决于患者的症状，也取决于手术医生的经验。上腹部既往手术史和胆结石并发症被视为相对禁忌证，而门静脉高压则是绝对禁忌证。这种微创手术的优点是创伤最小化以及术后舒适度提高。止痛药需求低，无需留置胃管和选择性引流。早期即可恢复饮食和活动。术后住院时间为2至3天。腹腔镜手术干预领域未来还会有进一步发展。
