Meshikhes A W, al-Dhurais S, Bhatia D, al-Khatir N
Department of Surgery Dammam Central Hospital, Eastern Province, Saudi Arabia.
Int Surg. 1995 Apr-Jun;80(2):102-4.
Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed successfully in 232 cases (89%). In 28 patients (18 electives, 10 emergencies), the procedure was converted to open for a variety of reasons, difficult anatomy being the commonest. Our mean operative time was 99.9 minutes (range 30-290 minutes). There were 3 major complications (2 common bile duct injuries and one abdominal aortic injury) and 4 minor complications (2 wound infections, one prolonged ileus and one chest infection). There was one death due to sickle cell crisis on the fifth post-operative day. The mean hospital stay was 2.3 days and 6.5 days for LC and converted cases, respectively. Our results suggest that laparoscopic cholecystectomy can be offered and conducted safely and effectively in the great majority of patients presenting acutely or electively with cholelithiasis, and that the results we achieved during the first year of our experience with LC is comparable to those reported from Europe and North America.
在一年期间（1992年6月至1993年6月），260例有症状胆结石患者（208例女性和52例男性）接受了腹腔镜胆囊切除术（LC），平均年龄37岁（范围13 - 80岁）。30例患者为急诊入院（20例急性胆囊炎，10例急性胰腺炎）。232例（89%）手术成功完成。28例患者（18例择期手术，10例急诊手术）因各种原因中转开腹，最常见的原因是解剖结构复杂。我们的平均手术时间为99.9分钟（范围30 - 290分钟）。有3例严重并发症（2例胆总管损伤和1例腹主动脉损伤）和4例轻微并发症（2例伤口感染、1例肠梗阻延长和1例肺部感染）。有1例患者在术后第5天因镰状细胞危象死亡。LC手术和中转开腹手术患者的平均住院时间分别为2.3天和6.5天。我们的结果表明，对于绝大多数急性或择期出现胆结石的患者，可以安全有效地进行腹腔镜胆囊切除术，并且我们在开展LC手术的第一年所取得的结果与欧洲和北美的报道相当。
