Modrzejewski A, Borowski M, Strusiński M, Butkiewicz J, Michalak T
III Kliniki Chirurgii Ogólnej Pomorskiej Ak. Med., Szczecinie.
Wiad Lek. 1993 May;46(9-10):343-6.
500 patients with symptomatic biliary stones disease have been treated by laparoscopic cholecystectomy (LCh). Contraindications, such as: acute inflammation, earlier laparotomies, common duct stones or obesity were considered as relatives. In cases with duct stones, ERCP with sphincterotomy and evacuation of duct stones was performed before LCh. Small percentage of LCh failures (2.6%) and of postoperative morbidity (3.4%) by undoubted advantages as: lack of postoperative paresis of digestive tract, reduced inability time for professional activity and low risk of postoperative abdominal hernia make this procedure attractive for patients and surgeons.
500例有症状的胆石症患者接受了腹腔镜胆囊切除术（LCh）治疗。诸如急性炎症、既往开腹手术史、胆总管结石或肥胖等禁忌症被视为相关因素。对于存在胆管结石的病例，在进行腹腔镜胆囊切除术之前先进行内镜逆行胰胆管造影（ERCP）及括约肌切开术并清除胆管结石。腹腔镜胆囊切除术失败率较低（2.6%），术后发病率也较低（3.4%），且具有诸如无术后消化道麻痹、缩短职业活动无法工作时间以及术后腹疝风险低等明显优势，这使得该手术对患者和外科医生都颇具吸引力。
