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首页> 外文期刊>Research Journal of Medical Sciences >Missed Pathology in Laparoscopic Cholecystectomy
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Missed Pathology in Laparoscopic Cholecystectomy

机译：腹腔镜胆囊切除术漏诊病理

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The wide acceptance of Laparoscopic Cholecystectomy (LC) has result in increasing the rate of LC bears the possibility of concomitantly missing intraabdominal pathology. The prospective follow up of 1852 patients who underwent LC was studied and all patients treated and readmitted for intraabdominal malignancy included. Over the ten years, 1852 patients with symptomatic cholecystitis operated using LC. Six patients required readmission for missed pathology of another organ (three for Colonic cancer, one Appendix tumor, one Gastric carcinoma and one Pancreatic cancer). This indicates a risk of more missed pathology during the course of laparoscopic operation compared to standard laparotomy. Although, the incidence of missed malignant pathology has a very low doesn`t justify routine screening for cancer (colon cancer ) before LC in terms of cost-effectiveness, the risk of missing pathologies during laparoscopic procedures has to be minimized by placing additional emphasis on careful evaluation of pain and associated symptoms before performing LC.
机译：腹腔镜胆囊切除术（LC）的广泛接受已导致LC发生率的增加，伴有腹部内病理学缺失的可能性。研究了1852名接受LC治疗的患者的前瞻性随访，包括所有因腹腔内恶性肿瘤而接受治疗的患者。在过去的十年中，有1852例有症状的胆囊炎患者使用LC手术。 6名患者因另一器官漏诊而需要再次入院（3例为结肠癌，1例阑尾肿瘤，1例胃癌和1例胰腺癌）。与标准的剖腹手术相比，这表明在腹腔镜手术过程中病理遗漏的风险更大。尽管就成本效益而言，漏诊的恶性病理的发生率很低并不能证明在LC之前常规筛查癌症（结肠癌）的合理性，但必须通过进一步强调腹腔镜手术的漏诊病理风险进行LC前，仔细评估疼痛和相关症状。

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