Mazuch J, Cupka I, Bruncák P, Géc K, Pelc J, Machan L, Zaher M
Chirurgické oddelenie NsP v Lucenci, Slovakia.
Bratisl Lek Listy. 1996 Apr;97(4):220-3.
The authors evaluated the results after classical (CCHE) and laparoscopic cholecystectomies (LCHE) in the period from March 16 1994 to June 30 1995. In this period they operated on 408 patients, out of which 208 were operated by the laparoscopic technique. There were no differences in postoperative morbidity. The mortality after laparoscopic surgery was 0% and the classical cholecystectomy reached the morbidity of 1.4%. Complicated patients were usually operated in the classical way. The time of hospitalisation after LCHE was 5.2 days and after CCHE 8.3 days. The results of LCHE were as follows: morbidity 10.5%, conversions 2.4%, reoperations 1.4%, and no leakage of the bile duct. We saved 40% of costs using LCHE. All these facts show that LCHE is advantageous, secure and well tolerated by patients. The patients prefer comfort after the operation, good cosmetic effect and a short hospital isation. CCHE did not lose its position, especially in complicated cases. (Tab. 5, Ref. 21.)
作者评估了1994年3月16日至1995年6月30日期间经典开腹胆囊切除术（CCHE）和腹腔镜胆囊切除术（LCHE）的结果。在此期间，他们为408例患者实施了手术，其中208例采用腹腔镜技术进行手术。术后发病率无差异。腹腔镜手术后死亡率为0%，经典开腹胆囊切除术的发病率为1.4%。病情复杂的患者通常采用经典手术方式。LCHE术后住院时间为5.2天，CCHE术后为8.3天。LCHE的结果如下：发病率10.5%，中转开腹率2.4%，再次手术率1.4%，且无胆管渗漏。使用LCHE节省了40%的费用。所有这些事实表明，LCHE具有优势、安全且患者耐受性良好。患者更倾向于术后舒适、良好的美容效果和较短的住院时间。CCHE并未失去其地位，尤其是在复杂病例中。（表5，参考文献21。）
