Taki-Eldin Ahmed, Badawy Abd-Elnaser
General Surgery Department.
Biochemistry Department, Faculty of Medicine, Northern Border University, Arar, KSA (Saudi Arabia).
Arq Bras Cir Dig. 2018 Jun 21;31(1):e1347. doi: 10.1590/0102-672020180001e1347.
Laparoscopic cholecystectomy is the most commonly performed operation of the digestive tract. )It is considered as the gold standard treatment for cholelithiasis.
To evaluate the outcome of it regarding length of hospital stay, complications, morbidity and mortality at a secondary hospital.
Data of 492 patients who underwent laparoscopic cholecystectomy were retrospectively reviewed. Patients' demographics, co-morbid diseases, previous abdominal surgery, conversion to open cholecystectomy, operative time, intra and postoperative complications, and hospital stay were collected and analyzed from patients' files.
Out of 492 patients, 386 (78.5%) were females and 106 (21.5%) males. The mean age of the patients was 49.35±8.68 years. Mean operative time was 65.94±11.52 min. Twenty-four cases (4.9%) were converted to open surgery, four due to obscure anatomy (0.8%), 11 due to difficult dissection in Calot's triangle (2.2%) and nine by bleeding (1.8%). Twelve (2.4%) cases had biliary leakage, seven (1.4%) due to partial tear in common bile duct, the other five due to slipped cystic duct stables. Mean hospital stay was 2.6±1.5 days. Twenty-one (4.3%) developed wound infection. Port site hernia was detected in nine (1.8%) patients. There was no cases of bowel injury or spilled gallstones. There was no mortality recorded in this series.
Laparoscopic cholecystectomy is a safe and effective line for management of gallstone disease that can be performed with acceptable morbidity at a secondary hospital.
腹腔镜胆囊切除术是消化道最常开展的手术。它被视为胆结石的金标准治疗方法。
评估在一家二级医院进行腹腔镜胆囊切除术的住院时间、并发症、发病率和死亡率等结果。
对492例行腹腔镜胆囊切除术的患者数据进行回顾性分析。从患者病历中收集并分析患者的人口统计学资料、合并疾病、既往腹部手术史、中转开腹胆囊切除术情况、手术时间、术中及术后并发症以及住院时间。
492例患者中，女性386例（78.5%），男性106例（21.5%）。患者平均年龄为49.35±8.68岁。平均手术时间为65.94±11.52分钟。24例（4.9%）中转开腹手术，4例因解剖结构不清（0.8%），11例因胆囊三角区解剖困难（2.2%），9例因出血（1.8%）。12例（2.4%）发生胆漏，7例（1.4%）因胆总管部分撕裂，另外5例因胆囊管残端滑脱。平均住院时间为2.6±1.5天。21例（4.3%）发生伤口感染。9例（1.8%）患者发现切口疝。无肠损伤或胆石散落病例。本系列无死亡病例。
腹腔镜胆囊切除术是治疗胆结石疾病的一种安全有效的方法，在二级医院进行时发病率可接受。
