NATIONAL SURVEY ON LAPAROSCOPIC CHOLECYSTECTOMY IN SPAIN - RESULTS OF A MULTIINSTITUTIONAL STUDY CONDUCTED BY THE COMMITTEE-FOR-ENDOSCOPIC-SURGERY (ASSOCIACION-ESPANOLA-DE-CIRUJANOS)

被引：17

作者：

VINCENTHAMELIN, E

PALLARES, AC

FELIPE, JAR

ROSELLO, EL

CAPEROCHIPI, JA

CANTERO, JLB

GOMIS, FD

CORVINOS, FF

SANCHEZ, SP

LESQUEREUX, JP

PUIG, OP

机构：

[1] Hospital Universitario San Carlos, Madrid, 28040, C. Martin Lagos s/n

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 07期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; MULTIINSTITUTIONAL STUDY; BILIARY COMPLICATIONS;

D O I：

10.1007/BF00593438

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present a joint study conducted by the Committee for Endoscopic Surgery in Spain. Sixty-nine surgeons reported 2,342 laparoscopic cholecystectomies (LCs) performed until November 1992. The conversion rate was 5.1%. The overall morbidity was 7.1%. The biliary morbidity was 0.45%: Seven severe bile duct injuries were recognized at laparoscopy (0.28%) and four lesions were postoperatively diagnosed (0.16%). Bile leak unrelated to bile duct lesion occurred in 14 patients (0.7%), leading to five reoperations. The mortality was 0.12% and was unrelated to the laparoscopic approach in two cases. The risk factors for biliary complications were obesity, previous history of jaundice, and previous hospital admissions. Surgeon experience was defined by 50 LCs performed, and the overall complication rate presented a statistically significant relation to surgeon experience (P < 0.001).

引用

页码：770 / 776

页数：7

共 21 条

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