THE MORBIDITY OF SURGICAL ACCESS - A STUDY OF OPEN VERSUS LAPAROSCOPIC CHOLECYSTECTOMY

被引：9

作者：

FARROW, HC ^{[1
]}

FLETCHER, DR ^{[1
]}

JONES, RM ^{[1
]}

机构：

[1] UNIV MELBOURNE,AUSTIN HOSP,DEPT SURG,HEIDELBERG,VIC 3084,AUSTRALIA

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1993年 / 63卷 / 12期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; OPEN CHOLECYSTECTOMY; POSTOPERATIVE MORBIDITY;

D O I：

10.1111/j.1445-2197.1993.tb01725.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A prospective non-randomized study of 37 adult patients undergoing open cholecystectomy and 40 patients undergoing laparoscopic cholecystectomy was undertaken to test the hypothesis that surgical access alone has a significant impact on postoperative morbidity. Specifically the study examined the deterioration of pulmonary function, development of pulmonary complications, postoperative narcotic requirement and total bed stay as markers of postoperative morbidity. The results showed that significantly less deterioration of pulmonary function occurred in patients treated using the laparoscopic approach. In this group there was also significantly less requirement for postoperative narcotics, less consequent development of pulmonary complications and a shorter bed stay in hospital. The study documents the substantial impact of surgical access on postoperative morbidity and highlights the benefits of the laparoscopic 'minimal access' approach.

引用

页码：952 / 954

页数：3

共 15 条

[1]

Craig D.B., Postoperative recovery of pulmonary function, Anaesth. Analg, 60, pp. 46-52, (1981)

[2]

Jameel A., Weisel R.D., Layug A.B., Kripke B.J., Hechtman H.B., Consequences of postoperative alterations in respiratory mechanics, Am J. Surg, 128, pp. 376-382, (1974)

[3]

Wightman J.A.K., A prospective surgery of the incidence of postoperative pulmonary complications, Br. J. Surg, 55, pp. 85-91, (1968)

[4]

Latimer R.G., Dickman M., Day W.C., Gunn M.L., Schmidt, Ventilatory patterns and pulmonary complications after upper abdominal surgery determined by preoperative and postoperative computerised spirometry and blood gas analysis, Am. J. Surg, 122, pp. 622-632, (1972)

[5]

Knill R.L., Gelb A.W., Ventilatory responses to hypoxia and hypercapnia during halothane sedation and anaesthesia in man, Anaesthesiology, 49, pp. 244-251, (1978)

[6]

Weil J.V., McCullough R.E., Kline J.S., Et al., Diminshed ventilatory response to hypoxia and hypercapnia after morphine in normal man, N. Engl. J. Med, 292, pp. 1103-1106, (1975)

[7]

Vaughan R.W., Wise L., Postoperative arterial blood gas measurement in obese patients

[8]

effect of position on gas exchange, Ann. Surg, 182, pp. 705-709, (1975)

[9]

Ali J., Khan T.A., The comparative effects of muscle transection and median upper abdominal incisions on postoperative pulmonary function, Surg. Gynaecol. Obstet, 148, pp. 863-866, (1979)

[10]

Goco I.R., Chambers L.G., Dollars and cents: Minicholecystectomy and early discharge, South. Med. J, 81, pp. 161-163, (1988)

← 1 2 →