Giuly J, Francois G, Gaujoux J
Clinique Fallen, Aubagne.
Chirurgie. 1991;117(5-6):380-8; discussion 388-9.
Owing to the wide diffusion of the coelioscopic cholecystectomy some problems are worth studying. From a technical standpoint they are important changes: use of monopolar current for coagulation, suppression of intra-operative cholangiography, absence of suture of the gallbladder bed, systematic retrograde dissection. Theoritically these modifications are important enough to increase the biliary risk. As a matter of fact, comparison with traditional cholecystectomy data as well as results of preliminary studies on coelioscopic cholecystectomy does not confirm such a risk. This operation appears safe, at least if indications are limited to non complicated cholelithiasis.
由于腹腔镜胆囊切除术的广泛应用，一些问题值得研究。从技术角度来看，它们是重要的改变：使用单极电流进行凝血、术中胆管造影的取消、胆囊床不缝合、系统性逆行解剖。从理论上讲，这些改变足以增加胆管风险。事实上，与传统胆囊切除术的数据以及腹腔镜胆囊切除术的初步研究结果进行比较，并未证实存在这种风险。至少在适应症仅限于非复杂性胆结石的情况下，该手术似乎是安全的。
