Antebi E, Nobel M, Weil R, Lehman J M
Surgical Dept. B, Hasharon Hospital, Petah Tikva.
Harefuah. 1991 Sep;121(5-6):145-6.
The standard treatment for cholelithiasis is cholecystectomy at open operation, which requires relatively long hospitalization and long absence from work. These socio-economic factors and a desire to avoid operative trauma and its complications led to the development of noninvasive therapy. The methods used so far, stone dissolution and extracorporeal shock wave lithotripsy, have proven unsatisfactory. The first takes a long time and has a high recurrence rate, the second has relatively frequent complications. Furthermore, both methods leave the diseased gallbladder in place. During the past year laparoscopic cholecystectomy has been developed in various centers and has been adopted in our department. We describe our initial experience with the technique in 70 cases aged 18-79 years.
胆石症的标准治疗方法是开放性胆囊切除术，这需要较长的住院时间和较长的误工时间。这些社会经济因素以及避免手术创伤及其并发症的愿望促使了非侵入性治疗方法的发展。迄今为止所采用的方法，即溶石疗法和体外冲击波碎石术，已被证明并不令人满意。第一种方法耗时较长且复发率高，第二种方法并发症相对频繁。此外，这两种方法都使患病胆囊留在原位。在过去的一年里，腹腔镜胆囊切除术已在各个中心得到发展，并已被我们科室采用。我们描述了我们在70例年龄在18至79岁之间的患者中应用该技术的初步经验。
