Manger T, Wolff H
Klinik für Chirurgie, Medizinischen Fakultät (Charité), Humboldt-Universität zu Berlin, Bundesrepublik Deutschland.
Zentralbl Chir. 1991;116(20):1173-9.
Laparoscopic guided cholecystectomy was attempted in 200 patients from September 1990 until May 1991. Wound infection rate was 6% in first 100 operations. In the second group of 100 operations the wound infection rate was 1%. Antibiotic prophylaxis was used in this group. Mortality was 0%. Complications were 7 wound infections, 1 urinary tract infection and 1 bile fistula treated by drainage. Five patients required conversion to a standard laparotomy, due to 3 cases of bleeding of a. cystica, 1 biliodigestive fistula and 1 extensive meteorism. Laparoscopic cholecystectomy is now a routine operation.
1990年9月至1991年5月期间，对200例患者尝试进行了腹腔镜引导下胆囊切除术。在前100例手术中，伤口感染率为6%。在第二组100例手术中，伤口感染率为1%。该组使用了抗生素预防措施。死亡率为0%。并发症包括7例伤口感染、1例尿路感染和1例通过引流治疗的胆瘘。5例患者因3例胆囊动脉出血、1例胆肠瘘和1例广泛性肠胀气而需要转为标准剖腹手术。腹腔镜胆囊切除术现已成为常规手术。
