書誌事項
- タイトル別名
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- Clinical study on complications of laparoscopic cholecystectomy
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One hundred and twenty-one cases undergoing laparoscopic cholecystectomy were subjected to a clinical study on intra-and postoperative courses and complications of the procedure. The times required for pneumoperitoneum and operation were prolonged in patients with negative cholecystogram, acute cholecystitis and/or presence of common bile duct stone. Six patients (5%) were converted into an open surgery, and 3 (2.5%) of them were caused by intraoperative accidents. Only one of patients with negative cholecystogram as well as acute cholecystitis or common bile duct stone required open conversion. Postoperative complications occurred in 13 patients (11%), but most of them (12/13) were minor troubles. Liver dysfunction appeared in 56 patients (49%)postoperatively, which had a significant correlation with the time required for pneumoperitoneum.<BR>Experts on laparoscopic cholecystectomy can apply the procedure for most patiens with negative cholecystogram, acute cholecystitis and/or common bile duct stone. As the time for pneumoperitoneum is prolonged, liver dysfunction may increasingly occur. We think that laparoscopic cholecystectomy should be carried out within 120 minutes that appear the safety margin for pneumoperitoneum.
収録刊行物
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- Tando
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Tando 11 (5), 409-417, 1997
Japan Biliary Association
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詳細情報 詳細情報について
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- CRID
- 1390001205467011968
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- NII論文ID
- 10007048755
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- NII書誌ID
- AN10062001
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- ISSN
- 09140077
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可