Atasoy Deniz, Aghayeva Afag, Sapcı İpek, Bayraktar Onur, Cengiz Turgut Bora, Baca Bilgi
Department of General Surgery, Acıbadem University School of Medicine, İstanbul, Turkey.
Student, Acıbadem University School of Medicine, İstanbul, Turkey.
Turk J Surg. 2018 Aug 28;34(3):217-220. doi: 10.5152/turkjsurg.2017.3930.
With increased experience and technological advancement, laparoscopic cholecystectomy is reported to be safe and feasible even in the presence of most of the previously recognized contraindications. The purpose of this study was to explore the effects of prior upper and lower abdominal surgery on laparoscopic cholecystectomy.
A retrospective evaluation of all sequential patients who underwent laparoscopic cholecystectomy from January 2014 to June 2016 was conducted. Patients were divided into three groups (Group A: patients without any prior abdominal surgical procedures; Group B: patients with prior upper abdominal surgical procedures; and Group C: patients with prior lower abdominal surgical procedures).
A total of 329 patients were assessed. Group A consisted of 223, Group B of 18, and Group C of 88 patients. A statistically significantly higher operative time, postoperative pain, and complication rate after laparoscopic cholecystectomy were noted in patients with prior upper abdominal surgery. The groups were comparable regarding patients' demographics and surgery indications. The length of hospital stay was not statistically different between the groups (p=0.065).
According to the results of the current study, prior upper abdominal surgery leads to a significantly longer procedure time, higher postoperative pain, and complication rates after laparoscopic cholecystectomy. However, the length of hospital stay was not affected by the parameters investigated.
随着经验的增加和技术的进步，据报道，即使存在大多数先前公认的禁忌症，腹腔镜胆囊切除术也是安全可行的。本研究的目的是探讨既往上腹部和下腹部手术对腹腔镜胆囊切除术的影响。
对2014年1月至2016年6月期间所有接受腹腔镜胆囊切除术的连续患者进行回顾性评估。患者分为三组（A组：无任何既往腹部手术史的患者；B组：有既往上腹部手术史的患者；C组：有既往下腹部手术史的患者）。
共评估了329例患者。A组223例，B组18例，C组88例。既往有上腹部手术史的患者在腹腔镜胆囊切除术后的手术时间、术后疼痛和并发症发生率在统计学上显著更高。各组在患者人口统计学和手术指征方面具有可比性。各组之间的住院时间在统计学上无差异（p = 0.065）。
根据本研究结果，既往上腹部手术会导致腹腔镜胆囊切除术后手术时间显著延长、术后疼痛加剧和并发症发生率升高。然而，住院时间不受所研究参数的影响。
