Batvinkov N I, Podnevich I R, Koialo I K
Khirurgiia (Mosk). 1989 Apr(4):23-6.
Operations were performed on 41 patients with duodenal ulcer which was the cause of obstruction of the bile ducts. Many patients also suffered from other chronic and acute complications of peptic disease of a long duration. Preliminary laparoscopic decompression of the gallbladder was conducted whenever possible. When the operative intervention was undertaken in obstructive jaundice preference was given to resection of the stomach or organ-preserving operations which were combined with correction of the bile draining ducts.
对41例因十二指肠溃疡导致胆管梗阻的患者进行了手术。许多患者还患有其他长期消化性疾病的慢性和急性并发症。只要有可能,就进行初步的腹腔镜胆囊减压。当对梗阻性黄疸进行手术干预时,优先选择胃切除术或保留器官的手术,并结合胆管引流矫正术。