Laparoscopc cholecystectomy (LC) has been common in these 4 years. LC boasts three major advantages over the conventional procedure: remarkable reduction in postoperative pain, the patients' early return to work and improved cosmesis. Indications for LC are almost the same as for the open cholecystectomy, that being a symptomatic cholecystolithiasis, gallbladder polyp and gallbladder adenomyomatosis. In our institute 13 patients underwent LC from July 1991. All patients were not converted the procedure into an open cholecystectomy. There were four men and nine women. The mean age was 54.5 years (range 42 to 75 years). Twelve patients had cholecystolithiasis and one had gallbladder polyps. While mean operative time for first 5 patients was 2 hour and 28 min, that for recent 8 patients was 1 hour and 12 min. The patients stay in the hospital was 3-8 days after the operations with uneventful recoveries. They could return to work within 2 weeks. Patient's safety must be good. All surgeons should recieve the highest quality training and the technique should be applied appropriately.
腹腔鏡下胆嚢摘出術 : その臨床的位置づけ
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