Pantsyrev Iu M, Lagunchik B P, Nozdrachev V I, Zheveliuk A G
Vestn Khir Im I I Grek. 1990 Feb;144(2):30-4.
Laparoscopic microcholecystostomy is recommended by the authors for nonarrested attack of acute cholecystitis in patients with high operative-anesthesiological risk as the first step of treatment. Delayed operations are performed after arrest of the inflammatory process in the gallbladder and correction of the coexistent pathology. The use of laparoscopic microcholecystostomy considerably decreased lethality in most dangerous contingent of patients.
作者推荐,对于手术-麻醉风险高的急性胆囊炎非持续性发作患者,腹腔镜微胆囊造口术可作为治疗的第一步。在胆囊炎症进程停止且并存的病理状况得到纠正后,再进行延迟手术。腹腔镜微胆囊造口术的应用显著降低了这类最危险患者群体的死亡率。