胆嚢結石症に対する新しい治療法　腹腔鏡下胆嚢摘出術

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  • Laparoscopic Cholecystectomy. A Novel Treatment of Cholecystolithiasis.
  • A Novel Treatment of Cholecystolithiasis
  • 腹腔鏡下胆嚢摘出術

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Seventy-two patients with cholecystolithiasis have been successfully treated by laparoscopic cholecystectomy using a flexible video laparoscop since July 1990. Intraoperative cholangiography confirmed the absence of residual bile duct stones and bile duct injury. All patients were free of complications postoperatively except for one umbilical wound infection, which was treated easily. They were discharged about 5 days after surgery. Our criteria of indication for this operation are 1) no history of upper abdominal surgery; 2) no acute cholecystitis; 3) no evidence of a common bile duct stone and positive cholecystogram by intravenous cholangiography. The advantages of this method over conventional cholecystectomy are 1) much less postoperative pain; 2) rapid recovery of abdominal transit; 3) rapid recovery of the patient, with complete return to normal activity; 4) small scar.

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