Baltás B, Bajusz H, Bende J, Vattay P, Lázár G, Vangel R, Onodi J, Kiss Z F, Takács T
Szent-Györgyi Albert Orvostudományi Egyetem Sebészeti Klinika.
Orv Hetil. 1994 Jul 24;135(30):1627-32.
The results of 1122 laparoscopic cholecystectomies have been analyzed which were performed within a two year period of time. In 1097 (97.8%) cases the authors managed to carry out the laparoscopic procedure, however in 25 patients (2.2%) the operation had to be converted to an open surgery. There was no hospital mortality, however 1 patient died at home due to pulmonary embolism. (Mortality: 0.09%) According to their survey 758 patients exhibited concurrent medical risk factors and 413 previous abdominal operations increased the "surgical" risk of laparoscopic procedures. 27 early and 46 late postoperative complications have been observed. In 3 instances (0.26%) bile duct injury occurred and in 5 cases (0.44%) reoperations had to be carried out secondary to postoperative complications. Forty patients (3.6%) have had recognized common bile duct stones, these were removed, in part preoperatively (28pts), in part postoperatively (11pts) by endoscopic sphincterotomy (EST). In one case a laparoscopic retrieval of common bile duct stone was accomplished via the dilated cystic duct. 47% of their patients left the hospital on the first day and 78% of them were discharged within 2 days.
分析了在两年时间内进行的1122例腹腔镜胆囊切除术的结果。在1097例（97.8%）病例中，作者成功实施了腹腔镜手术，但在25例患者（2.2%）中，手术不得不转为开放手术。没有医院死亡病例，但有1例患者在家中因肺栓塞死亡。（死亡率：0.09%）根据他们的调查，758例患者有并发的医疗风险因素，413例既往腹部手术增加了腹腔镜手术的“手术”风险。观察到27例早期和46例晚期术后并发症。有3例（0.26%）发生胆管损伤，5例（0.44%）因术后并发症不得不再次手术。40例患者（3.6%）被发现有胆总管结石，部分在术前（28例）、部分在术后（11例）通过内镜括约肌切开术（EST）取出。有1例通过扩张的胆囊管成功进行了腹腔镜胆总管结石取出术。47%的患者在第一天出院，78%的患者在2天内出院。
