Vanek V W, Rhodes R, Dallis D J
Department of Surgery, St. Elizabeth Hospital Medical Center, Youngstown, OH 44501-1790, USA.
South Med J. 1995 May;88(5):555-66. doi: 10.1097/00007611-199505000-00010.
In a retrospective study, the first 301 patients who had laparoscopic cholecystectomy (LC) in a university-affiliated community hospital were compared with a historical matched control group of patients who had open cholecystectomy. The patients who had LC had a shorter hospital stay, required less postoperative pain medication, resumed normal activities and returned to work sooner, and had a lower minor and total complication rate. The mean operating time was 45 minutes longer for LC. Major complications, common bile duct injuries, and mortality were similar in both patient groups. The learning curve, use of laser, and use of cholangiography were all analyzed. Our results with LC compared favorably with results reported in the medical literature.
在一项回顾性研究中，将一所大学附属医院社区医院中接受腹腔镜胆囊切除术（LC）的前301例患者与接受开腹胆囊切除术的历史匹配对照组患者进行了比较。接受LC的患者住院时间较短，术后所需止痛药物较少，恢复正常活动和更早重返工作岗位，且轻微和总体并发症发生率较低。LC的平均手术时间长45分钟。两组患者的主要并发症、胆总管损伤和死亡率相似。对学习曲线、激光的使用和胆管造影的使用均进行了分析。我们的LC结果与医学文献报道的结果相比具有优势。
