LONG-TERM FOLLOW-UP AFTER LAPAROSCOPIC CHOLECYSTECTOMY
LONG-TERM FOLLOW-UP AFTER LAPAROSCOPIC CHOLECYSTECTOMY
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DOI：
10.1055/s-2007-1009119
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发表时间：
1992-11-01
期刊：
影响因子：
9.3
通讯作者：
MUHE, E
中科院分区：
文献类型：
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作者：
MUHE, E
在1985年至1987年间，94例成功行腹腔镜胆囊切除术的患者中有93例进行了为期5年的随访。研究结果与同期接受开腹胆囊切除术的136名非随机对照组患者中的130名进行了比较。两组患者的特征和胆囊检查结果具有可比性。两组术后并发症发生率较低且无显著差异，而腹腔镜组的平均住院时间较短。随访期间，腹腔镜治疗组1例患者出现胆总管结石，因拒绝行ERCP手术治疗；该患者死于术后并发症。在接受腹腔镜胆囊切除术和开腹胆囊切除术的患者中，分别有27%和25%的患者报告了各种腹部不适；在大多数情况下，没有发现器质性原因。腹腔镜治疗组的瘢痕问题较少（2%对12%）。结论腹腔镜胆囊切除术远期疗效与开腹胆囊切除术相当，但住院时间明显缩短，远期美容效果明显优于开腹胆囊切除术。
A five-year follow-up was performed in 93 of 94 patients who successfully underwent laparoscopic cholecystectomy between 1985 and 1987. The results were compared to those in 130 of 136 patients of a non-randomized control group who had undergone open cholecystectomy during the same period. Patients characteristics and gallbladder findings were comparable in the two groups. Postoperative complications were infrequent and not significantly different in the two groups, whereas the mean hospital stay was shorter in the laparoscopic group. During follow-up, one patient in the laparoscopically treated group had a common bile duct stone which was treated surgically since he refused to undergo ERCP; this patient died of postoperative complications. Various abdominal complaints were reported in 27 % and 25 % of the patients undergoing laparoscopic and open cholecystectomy, respectively; in most cases no organic causes were found. Scar problems were less frequently reported in the laparoscopically treated group (2 % versus 12 %). It is concluded that the long-term results of laparoscopic cholecystectomy are as good as those of open cholecystectomy, however, the hospital stay is significantly shorter and the long-term cosmetic results are considerably better in laparoscopically treated patients.