Atat I, Randoux O, Vandevenne P, Filoche B, Desrousseaux B
Service de Chirurgie digestive et thoracique, Centre hospitalier Saint-Philibert, Lomme.
Chirurgie. 1994;120(1):53-7.
We reported a series of 446 consecutive cholecystectomies performed laparoscopically between June 1990 and January 1993. There were 354 females and 92 men, mean age 53 +/- 17 years. Laparoscopic cholangiography was attempted in 410 cases (92%) and led to the discover of a stone in the main bile duct in 18 cases (4%) and an abnormal insertion of the bladder duct in 30% (6.7%). Conversion to laparotomy was required in 84 patients (18.8%) due to difficult dissection (52), peroperative incidents or accidents (15) and abnormal hepatogram (17). No accident inherent to the operation was encountered in this series. One death occurred after laparotomic conversion for acute angiocholitis. The rate of post-operative complications was 5.6% and reoperations were required in 7 patients (1.5%).
我们报告了1990年6月至1993年1月间连续进行的446例腹腔镜胆囊切除术。其中女性354例，男性92例，平均年龄53±17岁。410例（92%）尝试了腹腔镜胆管造影，其中18例（4%）发现胆总管结石，30例（6.7%）发现胆囊管异常汇入。84例患者（18.8%）因解剖困难（52例）、术中事件或意外（15例）以及肝脏检查异常（17例）而需要中转开腹。本系列未发生手术固有事故。1例因急性胆管炎中转开腹后死亡。术后并发症发生率为5.6%，7例患者（1.5%）需要再次手术。
