EXPERIMENTAL LAPAROSCOPIC CHOLECYSTOTOMY

被引:8
作者
MENTGES, B
BUESS, G
MELZER, A
GUTT, C
BECKER, HD
机构
[1] Abteilung für Allgemeine Chirurgie und Poliklinik, Chirurgische Klinik der Universität, Klinikum Schnarrenberg, Tübingen, W-7400
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 02期
关键词
CHOLELITHIASIS; CHOLECYSTOTOMY; INTERVENTIONAL TECHNIQUE; MINIMALLY INVASIVE SURGERY;
D O I
10.1007/BF00316835
中图分类号
R61 [外科手术学];
学科分类号
摘要
This instrument set for a single puncture technique of laparoscopic cholecystotomy was developed in 100 phantom tests with pig gallbladders and was later evaluated in 12 animal experiments. No complications were observed. After clinical development, treatment on an outpatient basis under local anaesthesia seems possible. For the patient this would mean avoiding general anaesthesia, shorter hospitalization, pain reduction and good cosmetic results, while reducing expenditure for the public health authorities at the same time. To avoid recurrent stones, diet and low-dose drug therapy should be considered. Because the procedure is minimally invasive, repetition of the laparoscopic procedure seems justified if stones recur.
引用
收藏
页码:51 / 56
页数:6
相关论文
共 11 条
[1]  
Allen M.J., Borody T.J., Bugliosi T.F., May G.R., LaRusso N.F., Thistle J.L., Cholelitholysis using methyl tertiary butyl ether, Gastroenterology, 88, pp. 122-125, (1985)
[2]  
Brown T.H., Walton G., Cheadle W.G., Larson G.M., The alkaline shift in gastric pH after cholecystectomy, Am J Surg, 157, pp. 58-65, (1989)
[3]  
Frimberger E., Kuhner W., Ottenjann R., Bauchdeckenaufhängung für die Laparoskopie und laparoskopischer Wundverschluß durch Naht — neue operative Möglichkeiten, Operative Endoskopie, pp. 319-324, (1979)
[4]  
Frimberger E., Sanden H.V., Wernsdorfer C., Erhard W., Vogel G.E., Laparoskopische Cholezystotomie, Z Gastroenterol, 25, pp. 306-315, (1987)
[5]  
Hellstern A., Leuschner M., Fischer H., Lazarovici D., Guldutuna S., Kurtz W., Leuschner U., Perkutan-transhepatische Lyse von Gallenblasensteinen mit Methyl-tert-butyl-äther, Dtsch Med Wochenschr, 113, pp. 506-510, (1988)
[6]  
Kellett M.J., Wickham J.E.A., Russell R.C.G., Percutaneous cholecystolithotomy, Br Med J, 296, pp. 453-455, (1988)
[7]  
Leuschner U., Aktuelle Strategie zur Therapie bei Gallenblasensteinen, Dtsch Med Wochenschr, 114, pp. 1121-1123, (1989)
[8]  
Moorehead R.J., McKelvey S.T.D., Cholecystectomy and colorectal cancer, Br J Surg, 76, pp. 250-253, (1989)
[9]  
Paumgartner G., Sauerbruch T., Heutiger Stand von Litholyse und Lithotripsie von Gallensteinen, Chirurg, 59, pp. 190-196, (1988)
[10]  
Sauerbruch T., Behandlung von Gallensteinen durch extrakorporale Stoßwellen. Erste Erfahrungen, Aktuell Chir, 23, pp. 58-63, (1988)