Chevalley J P, Rothenbühler J M, Marx A, Landmann J
Departement Chirurgie der Universität, Kantonsspital Basel.
Helv Chir Acta. 1990 Jun;57(1):25-8.
We have realized a retrospective analysis of all cholecystectomies performed during two five-year periods (period I: 1970 to 1974, period II: 1984 to 1988) for stone disease. We were especially interested in the development concerning the type of intervention, the diagnostic procedures, the morbidity and mortality. Our analysis showed in the second period the substitution of the preoperative diagnostic procedure away from the cholangiography up to the ultrasound, a significant decrease of interventions, a marked decrease of surgically performed papillotomies and a reduction of mortality.
我们对两个五年期(第一期:1970年至1974年,第二期:1984年至1988年)内所有因结石病进行的胆囊切除术进行了回顾性分析。我们特别关注干预类型、诊断程序、发病率和死亡率方面的发展情况。我们的分析表明,在第二期,术前诊断程序从胆管造影术转变为超声检查,干预措施显著减少,手术乳头切开术明显减少,死亡率降低。