Pannella A, Fraipont G, Fossa M, Biancotti M, Priora C
Minerva Chir. 1989 Jun 15;44(11):1535-45.
After examining the literature on the subject, all admissions to the Pavia University Department of Surgical Pathology from 1-1-1974 to 31-12-1985 belonging to the IIIrd age and suffering from non-neoplastic and neoplastic bile way pathology have been reviewed. The two groups were studied on the basis of their histories and laboratory examinations, the outcome of the operation and its complications. It was found that in patients affected by non-neoplastic pathology (lithiasis of the bile ways, alithiasic cholecystitis, etc.) the operation of choice was well tolerated, unlike emergency surgery which in most cases was dangerous. In the IInd group, on the other hand, general condition is very important because on this depends whether or not resective or derivative intervention is carried out. It should be noted here that in all IIIrd age patients associated diseases have to be studied closely for these can contribute to death. It is concluded that in the Ist group of patients, operation can take place in optimal general and local conditions so that the operation can be of choice and not emergency. In the IInd group, as soon as the general condition of the patient so permits, the operation must be as extensive as possible, as age is not an impediment to surgery.
在查阅了关于该主题的文献后，我们回顾了1974年1月1日至1985年12月31日期间帕维亚大学外科病理学系收治的所有老年患者，他们患有非肿瘤性和肿瘤性胆道疾病。根据患者的病史、实验室检查、手术结果及其并发症对这两组患者进行了研究。结果发现，患有非肿瘤性疾病（胆道结石、无结石性胆囊炎等）的患者对择期手术耐受性良好，而急诊手术在大多数情况下则很危险。另一方面，在第二组中，患者的一般状况非常重要，因为这决定了是否进行切除性或姑息性干预。在此应注意，所有老年患者的相关疾病都必须仔细研究，因为这些疾病可能导致死亡。得出的结论是，在第一组患者中，手术可以在最佳的全身和局部条件下进行，因此可以选择择期手术而非急诊手术。在第二组中，只要患者的一般状况允许，手术必须尽可能广泛，因为年龄不是手术的障碍。
