Meyer L, Rupprecht J, Kähler G, Hoffmann C, Krönert T, Scheele J
Abteilung Allgemeine und Viszerale Chirurgie, Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1998;123 Suppl 2:74-7.
The laparoscopic cholecystectomy has become the gold standard in the therapy of gall bladder stones in the last few years. The most contraindications of the first period of the laparoscopic era had been eliminated by the development of laparoscopic technique and growing experience. Since September 1995 the laparoscopic cholecystectomy has been established as routine procedure also for acute cholecystitis. From September 1995 to Dezember 1996 177 laparoscopic cholecystectomies were performed, 132 for symptomatic cholecystolithiasis and 45 for acute cholecystitis. Postoperative complications occurred in 8.3% in the elective group and in 8.8% in the acute cholecystitis group. There was no death in both groups. Patients left the hospital on day 3 (range 2-21) in the elective group, on day 4 (1-13) in the acute colecystitis group. There are no statistically significant differences. According to our results acute cholecystitis does not increase postoperative morbidity and mortality after laparoscopic cholecystectomy and has to be a contraindication for this method no longer.
在过去几年中，腹腔镜胆囊切除术已成为治疗胆囊结石的金标准。随着腹腔镜技术的发展和经验的积累，腹腔镜时代初期的大多数禁忌症已被消除。自1995年9月以来，腹腔镜胆囊切除术也已成为治疗急性胆囊炎的常规手术。1995年9月至1996年12月，共进行了177例腹腔镜胆囊切除术，其中132例用于有症状的胆囊结石，45例用于急性胆囊炎。择期手术组的术后并发症发生率为8.3%，急性胆囊炎组为8.8%。两组均无死亡病例。择期手术组患者术后第3天（范围2 - 21天）出院，急性胆囊炎组患者术后第4天（1 - 13天）出院。两组之间无统计学显著差异。根据我们的结果，急性胆囊炎不会增加腹腔镜胆囊切除术后的发病率和死亡率，因此不再是该手术方法的禁忌症。
