Rozsos I
Kaposi Mór Megyei Kórház Kaposvár, I. Sebészeti Osztály.
Orv Hetil. 1994 Jul 24;135(30):1645-7.
The development of minimally invasive surgery for the management of cholelithiasis has been based on the premise that abdominal exploration during cholecystectomy is unnecessary. In the current study, 575 patients undergoing micro- and modern mini-laparotomy cholecystectomy were evaluated to assess the incidence and significance of undetected intra-abdominal pathology. In one instance an intussusception occurred from an ileal fibroma. This patient required a reoperation on the 20th postoperative day, after the removal of the porcellaneous gallbladder. After the primary resection of the tumor and affected bowel area, the patient recovered completely. During 575 cholecystectomy, performed with the micro- and modern minilaparotomy method, only in one patient (0.17%) was significant pathology not detected.
用于治疗胆结石的微创手术的发展基于这样一个前提，即胆囊切除术时进行腹部探查是不必要的。在本研究中，对575例行微型和现代小切口开腹胆囊切除术的患者进行了评估，以评估未被发现的腹腔内病变的发生率及意义。有一例患者因回肠纤维瘤发生肠套叠。该患者在拔除多孔胆囊后，于术后第20天需要再次手术。在对肿瘤和受累肠段进行初次切除后，患者完全康复。在采用微型和现代小切口开腹方法进行的575例胆囊切除术中，仅1例患者（0.17%）未检测到明显病变。
