Kusminsky R E, Tiley E H, Witsberger T A, Boland J P
West Virginia University Health Sciences Center, Charleston Division.
W V Med J. 1990 Aug;86(8):336-7.
In recent months, the technique of Laparoscopic Laser Cholecystectomy (LLC) was introduced at our institution. A small series is presented here involving 14 patients, seven of whom underwent LLC and seven in which a "mini-lap" cholecystectomy was performed. Symptomatic cholelithiasis was the indication for surgery in all cases, and operative cholangiograms were employed in 12 patients. Comparisons are made regarding length of hospitalization, recovery time and operative time. An improved recovery period is indeed demonstrated with LLC allowing return to normal activities and employment much sooner than with an open cholecystectomy. We suggest that, though some prudence and caution is advised, this appears to be a safe and feasible adjunct in the treatment of cholelithiasis.
近几个月来,我院引进了腹腔镜激光胆囊切除术(LLC)技术。本文报告了一个小样本病例系列,共14例患者,其中7例行LLC,7例行“迷你腹腔镜”胆囊切除术。所有病例的手术指征均为有症状的胆结石,12例患者进行了术中胆管造影。比较了住院时间、恢复时间和手术时间。LLC确实显示出恢复期有所改善,与开腹胆囊切除术相比,能更快恢复正常活动和工作。我们认为,尽管建议谨慎行事,但这似乎是治疗胆结石的一种安全可行的辅助方法。