van der Linden W, Sunzel H
Acta Chir Scand. 1976;142(1):62-6.
Two consecutive series of patients operated for gallstone disease were compared. One series emanated from a Swedish hospital in which an active surgical policy had been practised for many years while the other stemmed from a Swedish hospital in which the attitude towards surgery had been conservative. In this latter hospital there were more cases with biliary duct stones, especially hepatic duct stones. There were also more cases with jaundice, more cases with acute cholecystitis with high fever, more cases with protracted postoperative fever and with infection of the wound and more cases with a lengthy stay at the hospital. Responsible for all these differences were the older age groups. The conclusion is that the ideal treatment for gallstone disease is early operation, i.e. operation in an early stage and at an early age.
对两组连续接受胆结石疾病手术的患者进行了比较。一组来自一家瑞典医院，该医院多年来一直实行积极的手术策略；另一组来自一家瑞典医院，该医院对手术的态度较为保守。在后一家医院，胆管结石，尤其是肝管结石的病例更多。黄疸病例也更多，高热急性胆囊炎病例更多，术后持续发热和伤口感染病例更多，住院时间长的病例也更多。造成所有这些差异的是年龄较大的群体。结论是，胆结石疾病的理想治疗方法是早期手术，即在疾病早期和患者年轻时进行手术。
