腹腔鏡下胆嚢摘出術初期100例の検討-開腹下胆嚢摘出術との比較検討を中心として-

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  • STUDY OF INITIAL 100 CASES OF LAPAROSCOPIC CHOLECYSTECTOMY IN OUR HOSPITAL-COMPARED WITH 38 CASES OF OPEN CHOLECYSTECTOMY

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Laparoscopic cholecystectomy (LC) has spread throughout the Western countries explosively after it was performed for the first time in the world in 1987. In Japan, it has been spread within so short a time after the first case was performed in 1990 and it has been established as if we call it the standard operation. In this hospital, 100 patients were performed LC from July 1991 to January 1994. These 100 cases were evaluated with reference to its adaptation of operation, significance of preoperative diagnosis with images and intraoperative cholangiography, complications and so on. Moreover, we extracted 38 open cholecystectomy (OC) cases operated on from January 1989 to July 1991 which were supposed to be able to undergo LC at present, then compare and examine both cases concerning operation time, amount of bleeding, administered number of anodynes, hospitalization period after the operation. LC was significantly superior to OC in all results obtained under the aftermentioned 4 items. However, we experienced a case that we could not help switching LC to OC because of the bilialy injury. It is important to choose approriate cases for LC according to the abilities of each institutions and to pursue many experiences.

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