Timerbulatov V M, Garipov R M, Khasanov A G, Urazbakhtin I M, Timerbulatov M V
Vestn Khir Im I I Grek. 1999;158(1):25-9.
The article analyzes results of treatment of 963 patients with cholelithiasis and with the complications of this disease. Operations on these patients were performed using the following methods: laparoscopy (422), minilaparotomy (373), wide (traditional) laparotomy (168). Recommendation for different ways of operations on biliary ducts are discussed as well as the necessity of taking into consideration the results of sonographical examinations, pathomorphological and rheographic changes when choosing a particular method of surgical treatment. A combination of two little-invasive methods of treatment of cholelithiasis complicated by peritonitis is suggested.
本文分析了963例胆结石患者及其并发症的治疗结果。对这些患者进行手术采用了以下方法:腹腔镜手术(422例)、小切口剖腹手术(373例)、广泛(传统)剖腹手术(168例)。文中讨论了胆管不同手术方式的建议,以及在选择特定手术治疗方法时考虑超声检查结果、病理形态学和血流图变化的必要性。建议采用两种微创方法联合治疗并发腹膜炎的胆结石。