使用超声刀进行日间腹腔镜胆囊切除术：标准手术分析
Day case laparoscopic cholecystectomy carried out using the harmonic scalpel: analysis of a standard procedure.
作者信息
Patel Sanjay Dhanji, Patel Hemanshu, Ganapathi Senthal, Marshall Nichollas
机构信息
Newham University Hospital NHS Trust, Plaistow, London, UK.
出版信息
Surg Laparosc Endosc Percutan Tech. 2010 Feb;20(1):20-3. doi: 10.1097/SLE.0b013e3181cd45f2.
INTRODUCTION
Our aim was to determine the efficiency and safety of laparoscopic cholecystectomy carried out using the harmonic scalpel as a day case procedure.
METHODS
A prospective study was done on patients presenting for Laparoscopic cholecystectomy. The harmonic scalpel was used with retrograde dissection. All patients were considered for discharge the same day unless considered medically unfit.
RESULTS
Laparoscopic cholecystectomy using the harmonic scalpel was carried out on 100 patients. Major complications were as follows: conversion to open procedure -1%, common bile duct injury -1%, and bile leak from the cystic duct stump -1%. Our same day discharge rate was 65%, and age more than 65 was the only independent predictor of overnight admission (P=0.009).
CONCLUSIONS
Laparoscopic cholecystectomy using the harmonic scalpel is associated with a low complication rate and a high-same-day discharge rate when carried out as a day case procedure.
引言
我们的目的是确定使用超声刀进行日间腹腔镜胆囊切除术的有效性和安全性。
方法
对接受腹腔镜胆囊切除术的患者进行了一项前瞻性研究。使用超声刀进行逆行剥离。除非认为患者身体状况不适合，否则所有患者均考虑在同一天出院。
结果
对100例患者实施了使用超声刀的腹腔镜胆囊切除术。主要并发症如下：转为开放手术-1%，胆总管损伤-1%，胆囊管残端胆漏-1%。我们的当日出院率为65%，年龄超过65岁是过夜住院的唯一独立预测因素（P=0.009）。
结论
当作为日间手术进行时，使用超声刀的腹腔镜胆囊切除术并发症发生率低且当日出院率高。
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