The European journal of surgery = Acta chirurgica · 1995
Laparoscopic cholecystectomy without cholangiography: a study of 151 consecutive cases.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schröder T M, Linko K Y
Аннотация
OBJECTIVE: To evaluate the safety of laparoscopic cholecystectomy without operative cholangiography.
DESIGN: Open study.
SETTING: Outpatient and private hospitals, Finland.
SUBJECTS: 151 Patients (of whom all but the first 10 were consecutive) with symptomatic gallstones, or chronic or acute cholecystitis.
INTERVENTIONS: Laparoscopic cholecystectomy and (in three patients) preoperative endoscopic retrograde cholangiography (ERC).
MAIN OUTCOME MEASURES: Conversion to open operation and morbidity.
RESULTS: Only 2 patients (2%) required conversion to open cholecystectomy (one bled and in one the anatomy was difficult) and 4 (3%) developed complications (bleeding, n = 2, bile collection, and subcutaneous emphysema as a result of malfunction of the carbon dioxide insufflator). Three patients underwent ERC after operation and two were found to have common duct stones. Both had been noted to have large cystic ducts at operation.
CONCLUSION: Laparoscopic cholecystectomy can be done safely by experienced surgeons without operative cholangiography.
DESIGN: Open study.
SETTING: Outpatient and private hospitals, Finland.
SUBJECTS: 151 Patients (of whom all but the first 10 were consecutive) with symptomatic gallstones, or chronic or acute cholecystitis.
INTERVENTIONS: Laparoscopic cholecystectomy and (in three patients) preoperative endoscopic retrograde cholangiography (ERC).
MAIN OUTCOME MEASURES: Conversion to open operation and morbidity.
RESULTS: Only 2 patients (2%) required conversion to open cholecystectomy (one bled and in one the anatomy was difficult) and 4 (3%) developed complications (bleeding, n = 2, bile collection, and subcutaneous emphysema as a result of malfunction of the carbon dioxide insufflator). Three patients underwent ERC after operation and two were found to have common duct stones. Both had been noted to have large cystic ducts at operation.
CONCLUSION: Laparoscopic cholecystectomy can be done safely by experienced surgeons without operative cholangiography.