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[急性胆囊炎患者腹腔镜胆囊造口术后的治疗策略]

[Therapeutic tactics after laparoscopic cholecystostomy in patients with acute cholecystitis].

作者信息

Postolov P M, Zhidovinov G I, Bykov A V, Ovcharov A N, Nesterov S S

出版信息

Khirurgiia (Mosk). 1991 Jan(1):76-9.

PMID:1828283
Abstract

Laparoscopic cholecystostomy was undertaken in 178 elderly and old-aged patients with acute cholecystitis. Dynamic cholecystoscopy with biopsy of the cystic mucosa and bacteriologic study of the bile was conducted for objective appraisal of the inflammatory process in the gallbladder. Concluding operations on the bile tract were carried out in 147 patients. New methods were applied in 10 patients: filling of the gallbladder and contact solution of the stones in the gallbladder and bile ducts.

摘要

对178例老年和高龄急性胆囊炎患者实施了腹腔镜胆囊造口术。进行了动态胆囊镜检查,对胆囊黏膜进行活检并对胆汁进行细菌学研究,以客观评估胆囊的炎症过程。147例患者进行了胆道终末手术。10例患者采用了新方法:胆囊填充以及胆囊和胆管内结石的接触溶解。

相似文献

1
[Therapeutic tactics after laparoscopic cholecystostomy in patients with acute cholecystitis].[急性胆囊炎患者腹腔镜胆囊造口术后的治疗策略]
Khirurgiia (Mosk). 1991 Jan(1):76-9.
2
[Diagnostic and therapeutic laparoscopy in acute cholecystitis in middle and old age].[中老年急性胆囊炎的诊断与治疗性腹腔镜检查]
Vestn Khir Im I I Grek. 1992 May;148(5):151-4.
3
[Possibilities of laparoscopic decompression of the gallbladder in middle-aged and elderly patients with diseases of the biliary tract].
Klin Med (Mosk). 1991 Feb;69(2):71-5.
4
Palliative percutaneous transhepatic gallbladder drainage of gallbladder empyema before laparoscopic cholecystectomy.在腹腔镜胆囊切除术之前对胆囊积脓进行姑息性经皮经肝胆囊引流术。
Hepatogastroenterology. 2000 Jul-Aug;47(34):932-6.
5
[Laparoscopic microcholecystostomy in the treatment of acute cholecystitis].[腹腔镜微小胆囊造瘘术治疗急性胆囊炎]
Vestn Khir Im I I Grek. 1990 Feb;144(2):30-4.
6
[Use of endoscopic and surgical methods in the treatment of patients with acute cholecystitis].[内镜和手术方法在急性胆囊炎患者治疗中的应用]
Khirurgiia (Mosk). 1989 Dec(12):76-80.
7
[An endoscopic method of the treatment of complicated acute calculous cholecystitis].[一种治疗复杂性急性结石性胆囊炎的内镜治疗方法]
Khirurgiia (Mosk). 1990 Oct(10):38-42.
8
Emergency cholecystostomy and subsequent cholecystectomy for acute gallstone cholecystitis in the elderly.老年急性结石性胆囊炎的急诊胆囊造瘘术及后续胆囊切除术
Br J Surg. 1999 Dec;86(12):1521-5. doi: 10.1046/j.1365-2168.1999.01284.x.
9
[Surgical tactics in the treatment of acute cholecystitis with lesions of the bile ducts].[胆管病变的急性胆囊炎治疗中的手术策略]
Khirurgiia (Mosk). 1990 Oct(10):12-7.
10
Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis.经皮经肝胆道镜检查在高危急性胆囊炎手术患者中的安全性和实用性。
Gastrointest Endosc. 2000 Nov;52(5):645-9. doi: 10.1067/mge.2000.107286.

引用本文的文献

1
Laparoscopic cholecystostomy with delayed cholecystectomy as an alternative to conversion to open procedure.腹腔镜胆囊造瘘术联合延期胆囊切除术作为中转开腹手术的替代方案。
Surg Endosc. 1996 Apr;10(4):426-8. doi: 10.1007/BF00191631.