Medzhidov R T, Kurbanov K M, Dalgatov G D
Vestn Khir Im I I Grek. 1992 May;148(5):151-4.
Laparoscopic decompression of the gallbladder in elderly and senile patients having acute cholecystitis and in patients with severe coexistent diseases allows arresting the acute inflammatory process in the gallbladder, reducing the amount of forced operations which are extremely dangerous for this contingent of patients. Sanitation of the gallbladder with the electrolytic silver solution and irradiation of the bladder mucosa with laser is highly effective. Microcholecystostoma performed with a catheter having a diameter not less than 2.5 mm maintains adequate decompression of bile ducts and allows performing complete examination of them.
对患有急性胆囊炎的老年和高龄患者以及伴有严重并存疾病的患者进行腹腔镜胆囊减压,可阻止胆囊内的急性炎症过程,减少对这类患者极具危险性的急诊手术数量。用电解银溶液对胆囊进行清洗以及用激光照射胆囊黏膜非常有效。使用直径不少于2.5毫米的导管进行微胆囊造口术可保持胆管充分减压,并能对胆管进行全面检查。