Kirwan W O, Kaar T K, Waldron R
University Department of Surgery, Regional Hospital, Cork, Ireland.
Ir J Med Sci. 1991 Aug;160(8):243-6. doi: 10.1007/BF02973396.
Laparoscopic cholecystectomy is a reality and units must convert from open to endoscopic technique. To this end we have used the pig, whose biliary anatomy resembles the human, as a laboratory in vivo training model. Laparoscopic cholecystectomy has been performed in 35 animals. Techniques of pneumoperitoneum, vision, manipulation, clipping, ligation, cutting, diathermy and gall bladder removal were quickly mastered. All surviving animals underwent postmortem examination after 4 weeks. Following this laboratory programme, laparoscopic cholecystectomy in the human was introduced and has been completed successfully in 70 cases.
腹腔镜胆囊切除术已成为现实，各医疗单位必须从开放手术技术转变为内镜技术。为此，我们选用了猪作为活体实验室训练模型，因为猪的胆道解剖结构与人类相似。我们已对35只动物实施了腹腔镜胆囊切除术。气腹、视野、操作、夹闭、结扎、切割、电灼及胆囊切除等技术很快就被掌握。所有存活的动物在4周后接受了尸检。按照这个实验室方案，我们开展了人类腹腔镜胆囊切除术，并已成功完成70例。
