Leichter R F, Pellegrini C A
University of California, San Francisco, USA.
Curr Opin Gen Surg. 1993:271-6.
In the past 2 years, a revolution of unprecedented scope has occurred in biliary surgery. Laparoscopic cholecystectomy, first performed in 1987, has now become the procedure of choice to treat cholelithiasis. Because laparoscopic surgery proliferated in the absence of controlled clinical trials, concerns have been raised regarding its complications. This article reviews the technique of laparoscopic cholecystectomy, examines its feasibility and complications, and discusses the evolving role of intraoperative cholangiography and the approach to common bile duct stones. In a separate section, we review the year's literature on gallstone pancreatitis and on surgical treatment of benign biliary strictures.
在过去的两年里，胆道外科发生了一场前所未有的变革。1987年首次开展的腹腔镜胆囊切除术，如今已成为治疗胆结石的首选术式。由于腹腔镜手术在缺乏对照临床试验的情况下迅速普及，人们对其并发症产生了担忧。本文回顾了腹腔镜胆囊切除术的技术，探讨了其可行性和并发症，并讨论了术中胆管造影术的发展作用以及胆总管结石的处理方法。在单独的一节中，我们回顾了本年度关于胆石性胰腺炎和良性胆管狭窄外科治疗的文献。
