Summary
In the last five years there had been a dramatic change in the therapy of gallbladder diseases. Open cholecystectomy has been almost completely replaced by laparoscopic cholecystectomy. In the period between June 1990 and 1995, 3411 patients with gallstone diseases were operated on in the Moabit Hospital/Berlin, and only 180 patients (5.3%) were treated primarily by open cholecystectomy. In the treatment of symptomatic gallstones, laparoscopic cholecystectomy showed a comparable or even better outcome in terms of complications, operation time, hospital stay, patient satisfaction, and mortality rate. The new standard in the treatment of gallstone disease is therefore laparoscopic cholecystectomy.
Zusammenfassung
In den vergangenen fünf Jahren hat ein dramatischer Wandel in der Behandlung der Gallensteinerkrankungen stattgefunden. Die klassische Cholecystektomie wurde weitgehend von der laparoskopischen Cholecystektomie abgelöst. Im Zeitraum Juni 1990 bis März 1995 wurden im Krankenhaus Moabit/Berlin 3411 Patienten mit Gallensteinleiden operiert, davon nur noch 180 oder 5,3% primär klassisch. Bei der Behandlung der symptomatischen Cholecystolithiasis erbringt die laparoskopische Cholecystektomie hinsichtlich Komplikationen, OP-Zeit, Liegezeit und Patientenzufriedenheit sowie Letalität gleiche oder bessere Ergebnisse als die klassische Cholecystektomie. Der neue Standard bei der Behandlung der Cholecystolithiasis ist somit die laparoskopische Cholecystektomie.
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Kraas, E. et al. (1995). Stand und Entwicklung in der Visceralchirurgie. In: Hartel, W. (eds) Qualitätssicherung durch Zusammenarbeit in der Chirurgie. Langenbecks Archiv für Chirurgie, vol 1995. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-85235-0_11
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