Kurbangaleev S M, Rall' M B
Vestn Khir Im I I Grek. 1975 Feb;114(2):37-42.
Based on the analysis of the immediate results of 231 operations on extrahepatic bile ducts, 174 primary interventions and 57 reoperations, it is concluded that the operation at the height of the attack of acute cholecystitis or in total obturation of bile passages yields considerable mortality (1/3 and 1/5 of observations, accordingly). The best results of surgery were obtained in attenuation of acute inflammatory phenomena in the gallbladder under conditions of liquidation of obturation of extrahepatic bile ducts (1/7 of observations). However, bile peritonitis and progression of destructive acute cholecystitis would necessitate an urgent operation. According to the authors' data well-grounded indications to surgery, a selection of optimum terms and extent of its accomplishment could contribute to favourable immediate results of surgical therapy for diseases of extrahepatic ducts.
基于对231例肝外胆管手术近期结果的分析，其中包括174例初次手术和57例再次手术，得出结论：在急性胆囊炎发作高峰期或胆管完全梗阻时进行手术，死亡率相当高（分别占观察病例的1/3和1/5）。在解除肝外胆管梗阻的情况下，胆囊急性炎症现象减轻时进行手术，取得了最佳手术效果（占观察病例的1/7）。然而，胆汁性腹膜炎和急性坏疽性胆囊炎的进展需要紧急手术。根据作者的数据，有充分依据的手术指征、选择最佳手术时机和手术范围，有助于肝外胆管疾病手术治疗获得良好的近期效果。
