Beltramo M, Benussi G, Cazzaniga M, Fraquelli M
Divisione di Chirurgia, Ospedale di Carate Brianza, Milano.
Minerva Chir. 1995 Jul-Aug;50(7-8):627-31.
Laparoscopic cholecystectomy (LC) has been adopted by many as the treatment of choice for uncomplicated biliary lithiasis; since an increasing number of surgeons use LC even in complicated cases, we examined our series in order to see if this is the correct procedure. We report on the results of our first 252 LC and compare them with our latest 66 open cholecystectomies, in order to evaluate number and importance of postoperative complications. Besides we compare complications in patients below and over 60 years of age to verify if age bears any significance. We found no difference in frequency of complications among patients younger or older than 60; highly significant is, on the contrary, the difference in complications between the two procedures, the incidence being much lower in the laparoscopic one. We state that LC is a safe and effective procedure and suggest it as the method of choice for the treatment of any symptomatic gallbladder stone disease.
腹腔镜胆囊切除术（LC）已被许多人采用，作为治疗单纯性胆石症的首选方法；由于越来越多的外科医生甚至在复杂病例中也使用LC，我们对我们的病例系列进行了检查，以确定这是否是正确的手术方式。我们报告了我们最初的252例LC的结果，并将其与我们最近的66例开腹胆囊切除术进行比较，以评估术后并发症的数量和重要性。此外，我们比较了60岁以下和60岁以上患者的并发症情况，以验证年龄是否有任何意义。我们发现60岁以下和60岁以上患者的并发症发生率没有差异；相反，两种手术方式在并发症方面的差异非常显著，腹腔镜手术的发生率要低得多。我们认为LC是一种安全有效的手术方式，并建议将其作为治疗任何有症状胆囊结石疾病的首选方法。
