Bandurski R, Zalewski B, Kamocki Z, Piotrowski Z, Stocki W, Cepowicz D
Kliniki Chirurgii Gastroenterologicznej Akademii Medycznej w Białymstoku.
Wiad Lek. 1997;50 Suppl 1 Pt 1:231-4.
From September 1993 tol May 1997 360 laparoscopic cholecystectomies have been performed in patients aged 17-74: 318 women (88.3%) and 42 men (11.7%). 19 of them (5.3%) required a conversion to open surgery. In 13 cases (13.6%) conversion was caused by technical difficulties. In the other 6 (1.7%) was caused by intraoperative complications. While converted 15 simple cholecystectomies were performed, 2 with T-tube drainage of bile ducts, 1 with anastomosis choledochoduodenalis and 1 with partial stomach resection (Rydygier method). In all cases adhesions were divided. None of the patients died. Authors believe that LCh can be performed safely on most of the patients with chronic and acute cholecystitis.
1993年9月至1997年5月，对年龄在17至74岁的患者实施了360例腹腔镜胆囊切除术：其中女性318例（88.3%），男性42例（11.7%）。其中19例（5.3%）需要转为开腹手术。13例（13.6%）因技术困难而转为开腹手术。另外6例（1.7%）是由术中并发症导致的。转为开腹手术时，实施了15例单纯胆囊切除术，2例胆管T管引流术，1例胆总管十二指肠吻合术，1例胃部分切除术（里迪吉尔法）。所有病例均分离了粘连。无患者死亡。作者认为，大多数慢性和急性胆囊炎患者都可安全地进行腹腔镜胆囊切除术。
