LAPAROSCOPIC CHOLECYSTECTOMY - FROM GIMMICK TO GOLD STANDARD
LAPAROSCOPIC CHOLECYSTECTOMY - FROM GIMMICK TO GOLD STANDARD
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DOI：
10.1097/00004836-199412000-00015
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发表时间：
1994-12-01
影响因子：
2.9
通讯作者：
MODLIN, IM
中科院分区：
文献类型：
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作者：
BEGOS, DG;MODLIN, IM
腹腔镜胆囊切除术于1987年首次实施，并在2年内得到广泛应用。其快速增长部分是由于术后发病率降低和恢复期短于开腹胆囊切除术。尽管外科医生和普通公众都有这些看法，但没有对照研究确凿地证明了这一点，但现在，由于它的普及，不太可能进行这样的研究。尽管如此，关于开腹胆囊切除术已经积累了丰富的信息，关于腹腔镜胆囊切除术也正在产生大量的数据。我们在发生率和结果方面检查了腹腔镜和开放式胆囊切除术的报告。我们的综述支持腹腔镜胆囊切除术安全有效、并发症发生率可接受、恢复期较短的观点。因此，腹腔镜胆囊切除术现在是症状性胆石症的治疗选择，并正在成为新的黄金标准，与其他手术应该进行判断。
Laparoscopic cholecystectomy was first performed in 1987, and within 2 years had become widespread. Its rapid growth was due in part to a perceived reduction in postoperative morbidity and shorter convalescence than with open cholecystectomy. Although these perceptions were shared both by surgeons and the lay public, no controlled study has documented them conclusively, but now, because of its popularity, it is unlikely that such a study will ever be undertaken. Nevertheless, a wealth of information has been accumulated on open cholecystectomy, and a large body of data is being generated regarding laparoscopic cholecystectomy. We examine selected reports of both laparoscopic and open cholecystectomy in terms of incidence and outcome. Our review supports the notion that laparoscopic cholecystectomy is safe and effective, has an acceptable complication rate, and a considerably shorter convalescence. Thus, laparoscopic cholecystectomy is now the treatment of choice for symptomatic cholelithiasis, and is becoming the new gold standard against which other procedures should be judged.