Rothenbühler J M, Chevalley J P, Famos M
Helv Chir Acta. 1989 Jun;56(1-2):175-8.
In a long-term follow-up, we were particularly interested in the incidence and cause of postoperative abdominal pain following simple cholecystectomy and in the incidence and etiology of reoperations of the biliary tract. For tat we analyzed 1539 patients who were operated by simple cholecystectomy between 1970 and 1979. Thereafter 875 (68.8%) were checked by us. We found 37.4% symptomatic patients, but in most cases no organic cause was detected. The major organic causes were scar problems and extrabiliary disorders; bilio-pancreatic disturbances were rare, but they needed a reintervention in most cases.
在一项长期随访中,我们特别关注单纯胆囊切除术后腹痛的发生率及原因,以及胆道再次手术的发生率及病因。为此,我们分析了1970年至1979年间接受单纯胆囊切除术的1539例患者。此后,我们对其中875例(68.8%)进行了检查。我们发现有37.4%的患者有症状,但在大多数情况下未检测到器质性病因。主要的器质性病因是瘢痕问题和胆道外疾病;胆胰紊乱很少见,但在大多数情况下需要再次干预。