Khodakov V V, Riamov I S
Department of General Surgery, Ural State Medical Institute, Ekaterinburg.
Khirurgiia (Mosk). 1997(8):47-9.
The results of surgical treatment of 209 patients with diseases of bile ducts with use of minimum approach and special instrument are presented. Cholecystectomy was carried out in 186 patients, cholecystectomy together with other interventions-in 15, operations on hepaticocholedochus in 7, cholecystectomy and choledochostomy-in 1. Intraoperation surgical complications were observed in 0.95% of cases, postoperative ones--in 2.34%; postoperative mortality rate made up 0.95%. After cholecystectomy the patients were discharged in 3-9 days. The authors consider the operations on biliary tract from minimum approach as an alternative to conventional laparotomy as well as laparoscopic cholecystectomy.
本文介绍了209例胆管疾病患者采用微创入路及特殊器械进行手术治疗的结果。186例患者行胆囊切除术,15例患者行胆囊切除术并联合其他干预措施,7例患者行肝外胆管手术,1例患者行胆囊切除术及胆总管造口术。术中手术并发症发生率为0.95%,术后并发症发生率为2.34%;术后死亡率为0.95%。胆囊切除术后患者在3至9天出院。作者认为,微创入路的胆道手术可作为传统开腹手术及腹腔镜胆囊切除术的替代方法。