Frazee R C, Thames T, Appel M, Roberts J, Symmonds R, Snyder S, Hendricks J, Smith R, Allen T W
Scott & White Clinic, Temple, TX.
J Laparoendosc Surg. 1991 Jun;1(3):157-9. doi: 10.1089/lps.1991.1.157.
Laparoscopic cholecystectomy has been developed as an alternative to open cholecystectomy for the treatment of symptomatic cholelithiasis. A collaborative study of 261 patients undergoing laparoscopic cholecystectomy at three Texas institutions was performed to determine the effectiveness and safety of this technique. There were 65 males and 196 females with a mean age of 49 years (range 17-94 years). Acute cholecystitis was present in 38 patients and chronic cholecystitis in 223 patients. Mean length of surgery was 80 minutes (20 min to 4 hr). Fifteen patients were converted to the open technique intraoperatively due to bleeding, adhesions, or difficulty of dissection. There were no perioperative deaths and morbidity was 3% including urinary retention, small bowel obstruction, arrhythmia, wound infection, and bile leakage. There were no common duct injuries. Hospitalization ranged from outpatient surgery to 7 postoperative days with a mean of 1.2 days. We conclude that laparoscopic cholecystectomy can be performed safely and with low morbidity and offers shorter hospitalization and postoperative recovery.
腹腔镜胆囊切除术已被开发出来，作为治疗有症状胆结石的开腹胆囊切除术的替代方法。对德克萨斯州三个机构的261例接受腹腔镜胆囊切除术的患者进行了一项合作研究，以确定该技术的有效性和安全性。其中男性65例，女性196例，平均年龄49岁（范围17 - 94岁）。38例患者患有急性胆囊炎，223例患者患有慢性胆囊炎。平均手术时间为80分钟（20分钟至4小时）。15例患者因出血、粘连或解剖困难而在术中转为开腹手术。围手术期无死亡病例，发病率为3%，包括尿潴留、小肠梗阻、心律失常、伤口感染和胆漏。无胆总管损伤。住院时间从门诊手术到术后7天不等，平均为1.2天。我们得出结论，腹腔镜胆囊切除术可以安全地进行，发病率低，住院时间短，术后恢复快。
