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[门诊腹腔镜胆囊切除术]

[Ambulatory laparoscopic cholecystectomy].

作者信息

Schweins M, Edelmann M

出版信息

Chirurg. 1997 Jun;68(6):613-7. doi: 10.1007/s001040050240.

Abstract

A total of 140 patients underwent outpatient laparoscopic cholecystectomy in an outpatient clinic. Evaluation and follow-up of the patients were done prospectively. Population and preoperative data were comparable to published studies of patients operated on in hospitals. There were no serious intra- or postoperative complications. Postoperatively, patients needed less pain medication, were less tired and returned to work earlier than patients after clinical laparoscopic cholecystectomies. Outpatient laparoscopic cholecystectomy offers a good alternative to patients with moderate operative risks (ASA 1-3). It could reduce costs in the German health system and would be therefore highly cost effective.

摘要

共有140例患者在门诊接受了腹腔镜胆囊切除术。对患者进行了前瞻性评估和随访。研究人群和术前数据与已发表的关于在医院接受手术的患者的研究结果具有可比性。术中及术后均未出现严重并发症。术后,与接受临床腹腔镜胆囊切除术的患者相比,这些患者所需的止痛药物更少,疲劳感更轻,且更早返回工作岗位。门诊腹腔镜胆囊切除术为手术风险中等(美国麻醉医师协会分级1 - 3级)的患者提供了一个很好的选择。它可以降低德国医疗系统的成本,因此具有很高的成本效益。

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