Johanet H, Cossa J P, Opsahl S, Kianmanesh A R, Marmuse J P, Benhamou G
Service de Chirurgie Générale et Digestive, Hôpital Bichat Claude Bernard, Paris.
J Chir (Paris). 1995 Nov;132(11):434-7.
A retrospective study was conducted to evaluate the impact of laparoscopic surgery on activity in general and digestive surgery. From May 1990 to December 1994, 2256 laparoscopic procedures were performed for cholecystectomy (36%), appendicectomy (20.4%) or inguinal hernia (19.8%). 23.2% of all procedures performed in 1994 were done laparoscopically. The use of laparoscopy did not, in our experience, added any new indications from 1988 to 1994. The conversion rate was 8.15%. 24% of the conversion cases could not be predicted. Mortality was 0.18% and 1.19% of the patients had to undergo a second operation due to complications of laparsocopic surgery. The impact of laparoscopic procedures, 7 years after the first laparoscopic cholecystectomy has been great. The results of this surgical technique must be evaluated to determine its medical and economic impact.
开展了一项回顾性研究，以评估腹腔镜手术对普通外科和消化外科手术活动的影响。1990年5月至1994年12月期间，共进行了2256例腹腔镜手术，其中胆囊切除术占36%，阑尾切除术占20.4%，腹股沟疝修补术占19.8%。1994年所有手术中23.2%是通过腹腔镜完成的。根据我们的经验，从1988年到1994年，腹腔镜手术并未增加任何新的适应症。中转开腹率为8.15%。24%的中转病例无法预测。死亡率为0.18%，1.19%的患者因腹腔镜手术并发症而不得不接受二次手术。首例腹腔镜胆囊切除术后7年，腹腔镜手术的影响巨大。必须对这种手术技术的结果进行评估，以确定其医学和经济影响。
