Laparoscopic Cholecystectomy: The Japanese Experience
作者:
Taizo Kimura,
Ken Kimura,
Katsuhiko Suzuki,
Shigeru Sakai,
Yumiko Ohtomo,
Shunji Sakuramachi,
Yuichi Yamashita,
Kenichi Ido,
Seigo Kitano,
Yasuyuki Yazaki,
期刊:
Surgical Laparoscopy and Endoscopy
(OVID Available online 1993)
卷期:
Volume 3,
issue 3
页码: 194-198
ISSN:1051-7200
年代: 1993
出版商: OVID
关键词: Cholecystectomy;laparoscopic;Cholecystectomy;open;Technique;laparoscopic;Retrospective study
数据来源: OVID
摘要:
SummaryWe investigated the current status of laparoscopic cholecystectomy in Japan. A retrospective survey of laparoscopic cholecystectomy was performed involving 1989 patients from eight Japanese institutions. The preoperative work-up and the operative technique were largely identical to those in the United States. Conversion to open cholecystectomy was required in 54 patients (2.7%) because of unexpected intraoperative findings such as inflammation and adhesions in 40 patients (2.0%) and intraoperative complications in 14 patients (0.7%). There were no deaths, and postoperative complications occurred in 34 of 1935 patients (1.75%) in whom laparoscopic cholecystectomy was completed. Only 10 patients (0.51%) had serious complications (hemorrhage and bile duct injury, for example) that required laparotomy. The incidence of bile duct injury was 11 of 1989 (0.55%). We conclude that the adoption of laparoscopic cholecystectomy in Japan has been highly successful.
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