[传统胆囊切除术的结果。一所大学医院的经验]

[Results of conventional cholecystectomy. Experience in a university hospital].

作者信息

Montagnini A L, Jukemura J, Gianini P T, Machado M A, Abdo E E, Penteado S, Machado M C, da Cunha J E, Bacchella T, Pinotti H W

机构信息

Serviço de Cirurgia das Vias Biliares e Pâncreas, Disciplina de Cirurgia do Aparelho Digestivo do HC-FMUSP.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1996 May-Jun;51(3):93-5.

PMID:9035498

Abstract

The experience with open cholecystectomy in an university affiliated hospital is documented in this report. We studied retrospectively 221 patients operated between 1987 and 1992, type of surgery, morbidity and mortality were analyzed. There were 171 (77.3%) cholecystectomy alone and 50 (22.7%) cholecystectomy with other biliary surgery (BS). Pulmonary, urinary and wound complications were the most common. Overall incidence of complications was 7.2%. For patients with cholecystectomy alone morbidity was 3.5% and for patients with BS morbidity was 20% (p < 0.002). There were no mortality in this group of patients.

摘要

本报告记录了一所大学附属医院的开腹胆囊切除术经验。我们回顾性研究了1987年至1992年间接受手术的221例患者，分析了手术类型、发病率和死亡率。其中单纯胆囊切除术171例（77.3%），胆囊切除术联合其他胆道手术（BS）50例（22.7%）。肺部、泌尿系统和伤口并发症最为常见。并发症总发生率为7.2%。单纯胆囊切除术患者的发病率为3.5%，接受胆道手术患者的发病率为20%（p<0.002）。该组患者无死亡病例。