Dubois F, Berthelot G, Levard H
Hôpital International, Paris.
Chirurgie. 1990;116(3):248-50.
Laparoscopic cholecystectomy is possible. Under general anesthesia, the optic and the instruments are introduced through 4 trocarsheaths. The cystic duct and artery are dissected and clipped. The gallbladder freed by the retrograde way is removed through the umbilicus. 330 laparoscopic cholecystectomies were done with few and only benign complications. The advantages are the simple post-operative course, the short hospital stay and the minimal parietal traumatism. Some limits remains in case of too much peritoneal adhesions.
腹腔镜胆囊切除术是可行的。在全身麻醉下,通过4个套管鞘插入腹腔镜和手术器械。解剖并夹闭胆囊管和胆囊动脉。通过逆行方法游离胆囊后经脐部取出。已完成330例腹腔镜胆囊切除术,并发症少且均为良性。其优点是术后病程简单、住院时间短和腹壁创伤最小。在腹膜粘连过多的情况下仍存在一些局限性。