腹腔镜胆囊切除术11654例报告

Cholecystectomy with laparoscope :a report of 11654 cases.

１９９１～１９９７年共施行腹腔镜胆囊切除术（ＬＣ）１１６５４例，其中发生严重并发症１１６例（１０％），死亡６例（００５％）。大宗病例证明，ＬＣ与ＯＣ（开腹手术胆囊切除）比较总体并发症发生率和手术死亡率并无增加。目前，ＬＣ已成为多数有症状的胆囊结石首选治疗方式。本组资料总结了５所医院开展ＬＣ的情况，对ＬＣ的适应证、手术操作的要点、特殊情况下的处理以及ＬＣ值得注意的几个问题进行了讨论。作者认为严格的术前适应性训练和规范的术中操作尤为重要。

From 1991 to 1997,11654 cases laparoscopic cholecystectomies (LC) were performed,there were 116 serious complications(1.0%) and 6 cases death(0.05%).A large number of cases proved,comparison of laparoscopic cholecystectomy with open cholecystectomy,the total rates of complication and death was not increased.Now,laparoscopic cholecystectomy has become the first choice for majority of patients with symptomatic choleithiasis.5 hospitals′ data of laparoscopic cholecystectomy are summarized,the indications,operating points,special managements and other problems laparoscopic cholecystectomy are discussed.The authors think it is especially important to strict adaptive train before laparoscopic cholecystectomy and sdandardized operation in laparoscopic cholecystectomy.