Klimenko G A, Al-Homsi A
Klin Khir (1962). 1990(9):19-21.
In acute cholecystitis of the 460 patients, in 126, besides the cholecystectomy, the transduodenal sphincteroplasty (79) and supraduodenal choledochoduodenostomy (47) were performed. The postoperative lethality was 6.3 and 4.2%, respectively, mean duration of treatment of the patients at the hospital after the operation - 18.5 and 23.5 days. The excellent and good long-term results were noted in 78 and 73% of the patients examined. A conclusion is drawn, that sphincteroplasty and choledochoduodenostomy in complicated acute cholecystitis is more preferable, than choledochotomy and external drainage of the common bile duct.
在460例急性胆囊炎患者中,126例除行胆囊切除外,还进行了经十二指肠括约肌成形术(79例)和十二指肠上胆总管十二指肠吻合术(47例)。术后死亡率分别为6.3%和4.2%,术后患者在医院的平均治疗时间为18.5天和23.5天。在接受检查的患者中,78%和73%的患者获得了优良的长期效果。得出的结论是,在复杂性急性胆囊炎中,括约肌成形术和胆总管十二指肠吻合术比胆总管切开术和胆总管外引流术更可取。