Vogal J, Orth K, Büchler M, Beger H G
Chirurgische Klinik I, Universität Ulm, Bundesrepublik Deutschland.
Z Gastroenterol. 1992 Jul;30(7):463-8.
229 patients with an acute cholecystitis were operated on at the Surgical University Hospital of Ulm between 3/1982 and 6/1990. 42.3% of the patients were older than 70 years, the mean age being 64.3 years. 51.5% suffered from a complicated form of the disease. Intercurrent diseases were preoperatively found in 76%. Intraoperative complications of a technical nature occurred in 3.1%. The overall postoperative morbidity rate was 54%, with 9.4% of local problems, and showed a clear dependency on age and the number of preexisting risk factors. 31% had to undergo reoperation. The overall mortality rate was 2.6%, with a 0% mortality for patients under 65 years. The number of preexisting risk factors clearly correlated the period of hospitalisation, which was 16.1 days on average. In symptomatic gallstone diseases an early elective cholecystectomy should be strongly considered, especially in aged and multimorbid patients.
1982年3月至1990年6月期间，乌尔姆大学外科医院对229例急性胆囊炎患者进行了手术。42.3%的患者年龄超过70岁，平均年龄为64.3岁。51.5%的患者患有复杂形式的疾病。术前发现76%的患者有并发疾病。术中发生技术性并发症的比例为3.1%。术后总体发病率为54%，其中局部问题占9.4%，且明显取决于年龄和术前存在的危险因素数量。31%的患者不得不接受再次手术。总体死亡率为2.6%，65岁以下患者的死亡率为0%。术前存在的危险因素数量与平均住院时间16.1天明显相关。对于有症状的胆结石疾病，应强烈考虑早期择期胆囊切除术，尤其是老年和患有多种疾病的患者。
