Ivanov P A, Sinëv Iu V, Skliarevskiĭ V V, Volotskov V I
Khirurgiia (Mosk). 1989 Dec(12):76-80.
Laparoscopic gallbladder drainage (LGBD) was undertaken to arrest acute inflammation in 121 patients suffering from acute cholecystitis and serious concomitant diseases. Their ages ranged from 30 to 89 years. Cholecystectomy was carried out in 78 patients after complete abatement of the inflammatory process. When the risk of a radical operation was very high treatment was restricted to cleansing of the gallbladder cavity (CGBC). In 9 patients stones were removed from the gallbladder through a cholecystostoma, formed during LGBD, using a choledochoscope. Cleansing cholecystostomy under local anesthesia was conducted in 19 cases. Fifteen patients who were treated by CGBC had choledocholithiasis; they were subjected to endoscopic papillosphincterotomy. The death rate was 1.6%.
对121例患有急性胆囊炎并伴有严重合并症的患者进行了腹腔镜胆囊引流术（LGBD）以控制急性炎症。他们的年龄在30至89岁之间。在炎症过程完全消退后，对78例患者实施了胆囊切除术。当根治性手术风险非常高时，治疗仅限于胆囊腔清理术（CGBC）。在9例患者中，通过在LGBD期间形成的胆囊造口，使用胆道镜从胆囊中取出结石。19例患者在局部麻醉下进行了胆囊清理造口术。接受CGBC治疗的15例患者患有胆总管结石；他们接受了内镜下乳头括约肌切开术。死亡率为1.6%。
