Penschuk C, Jung H H, Fernandez-Laser C, Federmann G
Chirurgischen Abteilung des Kreiskrankenhauses Uelzen.
Zentralbl Chir. 1988;113(13):837-45.
Operations were performed on 221 patients for tentative diagnosis of acute cholecystitis at the Surgical Department of Goslar District Hospital, between January 1982 and August 1986. Evaluation was possible of 179 of these cases. This group was compared with 96 patients who had undergone surgery some time after admission to hospital, between January 1980 and December 1981, with 90 patients of these patients being evaluated. Mortality, postoperative complications, length of surgical sessions, and length of hospitalisation of immediate treated patients were lower than those recorded from patients with delayed operations. Mixed germ cultures were recordable from the former group and monocultures from the latter. On balance, the rate of complications following immediate surgery did not deviate from data given for early surgery in the literature, in that it was below the rate following interval operation. Therefore, immediate surgery in the authors' hospital is considered to be the appropriate approach to acute cholecystitis.
1982年1月至1986年8月期间，戈斯拉尔地区医院外科对221例初步诊断为急性胆囊炎的患者进行了手术。其中179例病例可进行评估。将该组与1980年1月至1981年12月期间入院一段时间后接受手术的96例患者进行比较，其中90例患者可进行评估。立即接受治疗的患者的死亡率、术后并发症、手术时间和住院时间均低于延迟手术患者的记录。前一组可记录到混合菌培养，后一组为单一培养。总体而言，立即手术后的并发症发生率与文献中早期手术的数据没有偏差，低于间隔手术后的发生率。因此，作者所在医院的立即手术被认为是治疗急性胆囊炎的合适方法。
