Höferlin A, Röder W, Höhle K D
Chirurgische Abteilung, St.-Hildegardis-Krankenhaus Mainz.
Chirurg. 1995 Oct;66(10):990-3.
Several international surveys have proved the laparoscopic cholecystectomy as a safe surgical technique. In spite of the good results there still exist operation-specific technical problems. The perforation of the gallbladder during dissection or while extracting it from the abdominal cavity can lead to severe complications. We analysed retrospectively 352 extractions of the gallbladder carried out with our 'Bergetrokar'. In 1.4% occurred perforation of the gallbladder and in 0.85% we had trouble with the healing. In 3.5% extraction could not be performed with the 'Bergetrokar'. Regarding these results our rates have been lower as compared in literature. In our opinion the extraction of the gallbladder through the lateral incision using the Bergetrokar represents a further step toward a safe extraction of the stonefilled gallbladder. Further the infection rate at the umbilical incision is reduced.
多项国际调查已证实腹腔镜胆囊切除术是一种安全的外科手术技术。尽管取得了良好的效果，但仍存在特定于手术的技术问题。在解剖过程中或从腹腔取出胆囊时胆囊穿孔可导致严重并发症。我们回顾性分析了用我们的“Bergetrokar”进行的352例胆囊摘除术。其中1.4%发生了胆囊穿孔，0.85%出现愈合问题。3.5%的病例无法用“Bergetrokar”完成摘除。与文献报道相比，我们的这些发生率较低。我们认为，使用Bergetrokar通过侧切口摘除胆囊是朝着安全摘除充满结石的胆囊又迈进了一步。此外，脐部切口的感染率降低了。
