Collet D
Service de Chirurgie Générale et Digestive, Maison du Pont-Lévêque, Pessac.
Ann Chir. 1996;50(3):241-51.
This study aims to evaluate the results of laparoscopic cholecystectomy in 1994 performed by a large number of surgeons. The study was conducted prospectively and anonymously among the members of the SFCERO. All the patients who underwent cholecystectomy started laparoscopicaly during 1994 were included.
4.624 cholecystectomies were performed by 150 surgeons. There were 3310 females (42.5 +/- 19.8 years old) and 1314 males (56.3 +/- 16.1 years old). Conversion rate was 6.9%: 4261 purely laparoscopic operations (Group I) and 320 conversions (Group II). Morbidity was 5% (N = 230): 4.7% in Group I (N = 203) and 8.4% in Group II (N = 27). Mortality was 0.2% (N = 9): 4 intra-abdominal complications (3 cases of peritonitis and 1 biliary reoperation), 2 cases of cardiac failure and 1 cerebrovascular accident. The cause of the death was not reported for 2 patients. These results show that the morbidity and mortality rate have not dramatically changed since the beginning of the technique, whereas the frequency of CBD injuries has decreased. In contrast, the conversion rate has slightly increased.
本研究旨在评估1994年由大量外科医生实施的腹腔镜胆囊切除术的结果。该研究在SFCERO成员中进行了前瞻性和匿名调查。纳入了所有在1994年开始接受腹腔镜胆囊切除术的患者。
150名外科医生实施了4624例胆囊切除术。其中女性3310例（42.5±19.8岁），男性1314例（56.3±16.1岁）。中转率为6.9%：4261例单纯腹腔镜手术（第一组）和320例中转手术（第二组）。发病率为5%（N = 230）：第一组为4.7%（N = 203），第二组为8.4%（N = 27）。死亡率为0.2%（N = 9）：4例腹腔内并发症（3例腹膜炎和1例胆道再次手术），2例心力衰竭和1例脑血管意外。2例患者的死亡原因未报告。这些结果表明，自该技术开展以来，发病率和死亡率没有显著变化，而胆总管损伤的发生率有所下降。相比之下，中转率略有上升。
