Mayol Martínez J, Vincent Hamelin E, Martínez-Sarmiento J, Ortiz Oshiro E, Moreno Tello B, Tamayo Fernández F J, Orega López D, Alvarez Fernández-Represa J
Servicio de Cirugía I, Hospital Universitario San Carlos, Madrid.
Rev Clin Esp. 1994 Aug;194(8):616-9.
We analyse the first 174 patients treated with laparoscopic cholecystectomy (LC) and their follow-up results. Average age was 57 years. Intraoperative cholangiography was not done in anyone. Conversion rate into other forms of intervention was 6.3%. The rate of common bile duct injury has been null. Total morbidity was 6.3%. Two cases of pulmonary embolism and two biliary leakages stand out in the postoperative morbidity. There was no death. After a follow-up period of up to 36 months, only 1 case of residual choledocholithiasis was registered, and it was cured with endoscopy. In this series morbid-mortality figures are low. LC is a safe procedure in the treatment of cholelithiasis, even in older patients.
我们分析了首批174例行腹腔镜胆囊切除术(LC)的患者及其随访结果。平均年龄为57岁。所有患者均未进行术中胆管造影。转为其他干预方式的比例为6.3%。胆总管损伤率为零。总发病率为6.3%。术后发病率中,两例肺栓塞和两例胆漏较为突出。无死亡病例。经过长达36个月的随访期,仅记录到1例残余胆总管结石,经内镜治疗治愈。在本系列中,病死数较低。即使对于老年患者,LC也是治疗胆结石的一种安全手术。