LAPAROSCOPIC CHOLECYSTECTOMY - AN INITIAL REPORT

被引：53

作者：

SALKY, BA ^{[1
]}

BAUER, JJ ^{[1
]}

KREEL, I ^{[1
]}

GELERNT, IM ^{[1
]}

GORFINE, SR ^{[1
]}

机构：

[1] MT SINAI HOSP,NEW YORK,NY

来源：

GASTROINTESTINAL ENDOSCOPY | 1991年 / 37卷 / 01期

关键词：

D O I：

10.1016/S0016-5107(91)70611-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Sixty consecutive patients underwent an elective attempt at laparoscopic cholecystectomy between March 15 and July 31, 1990 at the Mount Sinai Hospital in New York. Fifty-two patients had successful completion of the laparoscopic cholecystectomy (87%). The reasons for conversion to open cholecystectomy were acute cholecystitis (four patients), inability to define the cystic duct-common duct junction (three patients), and one patient with an unexpected choledochal cyst variant. Forty patients (77%) were discharged on the first post-operative day, and the remaining 12 patients on the second post-operative day. Thirty-three patients (63%) required only oral pain medication, and 11 patients (21%) needed no pain medication post-operatively. Fifty-one patients (98%) had resumed normal activities by the seventh post-operative day. Cholecystectomy remains the treatment of choice for biliary colic. Laparoscopic cholecystectomy minimizes length of stay in the hospital, lessens post-operative pain, allows quicker return to normal activities, and has a superior cosmetic result.

引用

页码：1 / 4

页数：4