Laparoscopic cholecystectomy using fine-caliber instruments

被引：45

作者：

Kimura, T ^{[1
]}

Sakuramachi, S ^{[1
]}

Yoshida, M ^{[1
]}

Kobayashi, T ^{[1
]}

Takeuchi, Y ^{[1
]}

机构：

[1] Hamamatsu Univ Sch Med, Dept Surg 1, Hamamatsu, Shizuoka 43131, Japan

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 1998年 / 12卷 / 03期

关键词：

laparoscopic cholecystectomy; fine-caliber instruments; cosmetic outcome;

D O I：

10.1007/s004649900654

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The advantages of laparoscopic cholecystectomy (LC) are based on its low invasiveness due to the small surgical wounds. If LC could be performed using fine-caliber instruments, these advantages would be amplified. We developed 3-mm-caliber instruments and performed LC in 20 patients using one 5-mm and two 3-mm instrument ports. The results were retrospectively compared with those of standard LC. The operating time (107.2 +/- 50.0 min), complication rate (0%), number of doses of analgesia (0.80 +/- 0.83), and postoperative hospital stay (4.9 +/- 1.2 days) were not significantly different between our method and standard LC. At 6 months postoperatively, the scars were smaller with our method. Surgery using fine-caliber instruments was no more difficult than standard LC and achieved a superior cosmetic outcome.

引用

页码：283 / 286

页数：4