LAPAROSCOPIC CHOLECYSTECTOMY

被引：30

作者：

FIELDING, GA

机构：

[1] Department of Surgery, Royal Brisbane Hospital, Brisbane, Queensland

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1992年 / 62卷 / 03期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY;

D O I：

10.1111/j.1445-2197.1992.tb05459.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A consecutive series of 220 laparoscopic cholecystectomies (June 1990 to May 1991) is presented. These were the author's initial experience of the technique. Procedures were elective (205) and acute (15), including 3 gangrenous cholecystitis and 4 empyema. There were 166 females and 34 males, 12-75 years, weighing 44-115 kg. Forty-eight patients had prior abdominal surgery. Two hundred and eleven patients had successful laparoscopic cholecystectomies, 6 open cholecystectomies and 3 mini laparotomies to remove spilt stones. None of the last 120 cases were opened. Operating time ranged from 20 min to 3 h 20 min. There were 4 serious complications: 2 bile leaks from the gall-bladder bed and 2 jejunal injuries (Veres needle and 5 mm trocar). Sixty-one patients were discharged the next day, 29 on day 2, 5 on day 3, 4 on day 4, 1 on day 5, 1 on day 22 and 1 on day 27. At two weeks follow-up all but 2 patients had fully recovered.

引用

页码：181 / 187

页数：7

共 12 条

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