Innocenti C, Defraigne J O, Limet R
Service de Chirurgie Cardio-Vasculaire, C.H.U. Liège, Belgique.
J Chir (Paris). 1989 Mar;126(3):159-62.
From 1984 to 1987, a cholecystectomy for biliary lithiasis was carried out at the same time as aortic vascular surgery in 21 patients. Seventy six percent of patients presented an abdominal aortic aneurysm and 24% occlusive atherosclerosis. Thirty eight percent had previously presented symptoms related to biliary lithiasis. Biliary surgery was conducted after closure of the retroperitoneum. The gall bladder region was drained separately. The technique did not increase operative morbidity or mortality. Combined cholecystectomy and vascular surgery depends on two arguments. Firstly, patients with stones present a higher risk of post-operative cholecystitis. Secondly, a significant percentage of non-cholecystectomized patients will present with biliary symptomatology in the months following vascular surgery.
1984年至1987年期间，21例患者在接受主动脉血管手术的同时进行了胆囊切除术以治疗胆石症。76%的患者患有腹主动脉瘤，24%患有闭塞性动脉粥样硬化。38%的患者此前曾出现与胆石症相关的症状。在关闭后腹膜后进行胆道手术。胆囊区域单独引流。该技术并未增加手术发病率或死亡率。胆囊切除术与血管手术联合进行基于两个理由。首先，患有结石的患者术后发生胆囊炎的风险更高。其次，相当比例未进行胆囊切除术的患者在血管手术后数月会出现胆道症状。
