Frei E, Middendorp J, Klaiber C, Akovbiantz A
Chirurgische Klinik, Zieglerspital, Bern.
Schweiz Rundsch Med Prax. 1990 Dec 18;79(51):1598-602.
100 patients underwent laparoscopic cholecystectomy for symptomatic gallbladder stones. In seven cases the laparoscopic procedure had to be converted into an open cholecystectomy due to bleeding, injury to the choledochus and acute cholecystitis. There were no postoperative complications. We feel that the indication for this method is broad. Independent of the size, the number and the chemical composition of calculi, this method is used for symptomatic gallbladder stones. All together the main advantages are higher comfort for the patient, better cosmetic results, shortening of hospital stay and sooner return to full activity.
100例有症状胆囊结石患者接受了腹腔镜胆囊切除术。7例因出血、胆总管损伤及急性胆囊炎，腹腔镜手术不得不转为开腹胆囊切除术。术后无并发症。我们认为该方法的适应证广泛。无论结石的大小、数量及化学成分如何，该方法均用于有症状的胆囊结石。总的来说，主要优点是患者舒适度更高、美容效果更好、住院时间缩短以及能更快完全恢复活动。
