Chumillas M S, Ponce J L, Delgado F, Viciano V
Department of Rehabilitation, Hospital Lluís Alcanyís, Xàtiva, Spain.
Eur J Surg. 1998 Jun;164(6):433-7. doi: 10.1080/110241598750004247.
To investigate the impairment of pulmonary function and complications after laparoscopic compared with open cholecystectomy through an upper midline incision.
Prospective randomised trial.
Teaching hospital, Spain.
40 patients, 20 in each group.
Clinical examination, spirometry, arterial blood gas analysis, and chest radiographs before and after operation.
48 hours postoperatively FVC and FEV1 had decreased to 56.7% and 53%, respectively, in the patients who had had open cholecystectomy, compared with 85.3% and 84.8% in the laparoscopic group (p < 0.0001). The mean (SD) postoperative percentage reductions in both PaO2 (86.1 (11.1) compared with 98.3 (11.3)) and SatO2 (98.6 (1.3) compared with 100 (1.5)) were also greater in the open group (p < 0.005 in both cases).
Laparoscopic cholecystectomy causes less impairment of lung function than cholecystectomy through an upper midline incision.
通过上腹部正中切口，比较腹腔镜胆囊切除术与开腹胆囊切除术后肺功能损害及并发症情况。
前瞻性随机试验。
西班牙教学医院。
40例患者，每组20例。
术前及术后进行临床检查、肺活量测定、动脉血气分析及胸部X线检查。
开腹胆囊切除术后患者术后48小时FVC和FEV1分别降至56.7%和53%，而腹腔镜组分别为85.3%和84.8%（p<0.0001）。开腹组术后PaO2（86.1(11.1)对比98.3(11.3)）和SatO2（98.6(1.3)对比100(1.5)）的平均（标准差）降低百分比也更高（两者p均<0.005）。
与经上腹部正中切口胆囊切除术相比，腹腔镜胆囊切除术对肺功能的损害更小。
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