Corlette M B, Bismuth H, Hepp J
Am J Surg. 1977 Jun;133(6):655-7. doi: 10.1016/0002-9610(77)90146-5.
Bacteriologic study of bile in 100 patients undergoing cholecystectomy for various manifestations of choletithiasis yielded 36 per cent positive cultures, with greater frequency in older individuals and those with acute cholecystitis and common duct stone; these results are comparable to those in previous studies and reaffirm the septicity of the bile. Incidence of wound infection, averanging 10 per cent in published series of cholecystectomies, was 0.5 per cent in 200 patients in whom a water-impermeable wound drape was sewn to the peritoneum to prevent contamination by potentially infected bile. This result, in patients with an infectious risk comparable to that in other series, establishes the value of meticulous wound isolation in preventing wound infection.
对100例因各种胆石症表现而接受胆囊切除术的患者的胆汁进行细菌学研究，培养结果阳性率为36%，在老年患者以及患有急性胆囊炎和胆总管结石的患者中更为常见；这些结果与先前研究的结果相当，再次证实了胆汁的感染性。在已发表的胆囊切除系列研究中，伤口感染发生率平均为10%，而在200例患者中，通过将防水伤口敷料缝至腹膜以防止潜在感染性胆汁污染，伤口感染发生率为0.5%。在感染风险与其他系列相当的患者中，这一结果证实了在预防伤口感染方面细致的伤口隔离措施的价值。
