Philipson bm , bokey el , moore jw , et al . cost of open versus laparoscopically assisted right hemicolectomy for cancer [ j ] . world j surg , 1997 , 21 ( 2 ) : 214 - 217 谢岳林,陈贵.腹腔镜与开腹胆囊切除术医疗效率和费用的比较分析[ j ] .中国微创外科杂志, 2004 , 4 ( 1 ) : 5051
Although some doctors were skeptical at first about the laparoscopic approach , it soon caught on , and now accounts for 90 percent of gallbladder operations 虽然起初有些医生对腹腔镜手术持怀疑态度，但目前腹腔镜胆囊切除术已经占胆囊手术的90 %以上。
Aitola p , airo i , kaukinen s , et al . comparison of n2o and co2 pneumoperitoneums during laparoscopic cholecystectomy with special reference to postoperative pain j . surg laparosc endosc , 1998 , 8 ( 2 ) : 140 ? 144 曹晓莹，梁伟民，谢致，等.腹腔镜胆囊切除术中气腹压和气腹持续时间对病人内脏灌注的影响j .中华麻醉学杂志2005 ， 25 （ 11 ） ： 807 ? 810
In addition , can cause by cystic resection itself , if gallbladder is in charge of the remaining inside the cystic canal that stay too longly or expanding to have stone , be in likely still end forms nerve fibroma , or operation injury bile duct 此外，可由胆囊切除术本身造成，如胆囊管留得过长或在扩大的胆囊管内残存有结石，还有可能在断端形成神经纤维瘤，或手术损伤胆管等。
Results except 5 cases were converted to open surgery ( conversion rate 7 . 5 % ) , the other 61 cases of gasless laparoscopic cholecystectomy ( 41 ) , inguinal herniorrhaphy ( 2 ) , abdomino - perineal resection of rectal carcinoma ( 9 ) , sigmoidectomy ( 3 ) , left hemi - colectomy ( 1 ) , hand - assisted sigmoidoproctectomy ( 1 ) , hand - assisted right hemi - colectomy ( 1 ) , partial excision of cecum ( 1 ) , sub - total gastrectomy ( 1 ) , and abdominal plasty ( 1 ) were successfully performed with no mobidity and mortality 结果66例非气腹腹腔镜手术中， 5例中转开腹(中转率7 . 5 % ) ， 61例包括胆囊切除、结直肠切除、盲肠部分切除、胃大部切除、腹股沟疝修补、腹壁紧缩成形术等获成功。
Because the imposes integratedly hair cause of disease after cystic resection basically has the following sides : diagnose before art above all incorrect , diagnose hernia of cankerous disease , pancreatitis , midriff or coronary heart disease by accident made cystic resection for chronic cholecystitis , it is the commonnest cause 胆囊切除术后综合征的发病原因主要有以下几个方面：首先术前诊断不正确，误将溃疡病、胰腺炎、膈疝或冠心病诊断为慢性胆囊炎作了胆囊切除术，是最常见的原因。
Because be being asked for integratedly is not a very exact diagnostic name after cystic resection , so after 70 time , mix as endoscope video those who learn to diagnose is general begin , the asks for integratedly diagnosis after cystic resection has been replaced for the diagnostic place of specific disease gradually 由于胆囊切除术后综合征不是一个非常确切的诊断名词，所以70年代以后，随着内窥镜和影像学诊断的普遍开展，胆囊切除术后综合征的诊断已经逐渐为具体疾病的诊断所代替。
