Cala Z, Velnić D, Cvitanović B, Rasić Z, Perko Z
University Department of Surgery, Sveti Duh General Hospital, Zagreb, Croatia.
Acta Med Croatica. 1996;50(3):147-9.
From May 1992, when the first laparoscopic cholecystectomy was performed at University Department of Surgery, Sveti Duh General Hospital, till October 1994, the authors performed more than 1000 procedures. Laparoscopic approach was successfully used in 965 (96.5%) patients. Thirty-five (3.5%) cases were converted to open surgery. Dangerous anatomy, some technical problems and perioperative bleeding were the most often reasons for conversion. Further, liver metastases and perioperatively recognized common bile duct lesion necessitated conversion in one case each. In total, there were 18 (1.8%) abdominal complications. Common bile duct lesion, postoperative common bile duct stricture and duodenal perforation occurred in one patient each. Major bleeding was present in eight and bile leak in seven patients. The mean duration of hospitalization was 2.8 days. Analyses of the results show laparoscopic cholecystectomy to be safe procedure with low perioperative and postoperative complications.
从1992年5月在斯韦蒂·杜赫综合医院大学外科进行首例腹腔镜胆囊切除术，到1994年10月，作者实施了1000多例手术。965例（96.5%）患者成功采用了腹腔镜手术方法。35例（3.5%）转为开腹手术。危险的解剖结构、一些技术问题和围手术期出血是最常见的转为开腹手术的原因。此外，肝转移和围手术期发现的胆总管病变各有1例需要转为开腹手术。总共有18例（1.8%）腹部并发症。胆总管病变、术后胆总管狭窄和十二指肠穿孔各发生在1例患者身上。8例出现大出血，7例出现胆漏。平均住院时间为2.8天。结果分析表明，腹腔镜胆囊切除术是一种安全的手术，围手术期和术后并发症发生率低。
