Geshelin S A, Kashtal'ian M A, Mishchenko N V
Klin Khir. 2008 Feb(2):15-7.
Laparoscopic and open cholecystectomy was performed in different terms in 2600 patients for cholecystitis. In 85% of patients, operated on in terms up to 72 h of an acute period, and in 10% of the patients, operated in a "cold" period, the destructive changes were revealed in gallbladder. In 17% of patients, operated in more late terms, the destructive changes were not revealed. The concept of the staged course of inflammation and suggestions concerning favourable and unfavourable terms of the operation performance must be revised.
对2600例胆囊炎患者在不同时期进行了腹腔镜和开腹胆囊切除术。在急性期72小时内接受手术的患者中,85%的患者胆囊出现了破坏性改变;在“非急性期”接受手术的患者中,10%的患者胆囊出现了破坏性改变。在更晚期接受手术的患者中,17%未发现破坏性改变。必须修正炎症分期过程的概念以及关于手术实施有利和不利时期的建议。