Wacha H, Ungeheuer E
Zentralbl Chir. 1987;112(13):843-8.
The cholecystolithiasis is the symptom of a disease. Recent radiological procedures, above all sonography, can be helpful not only in more frequent detection of gallstones, but they can also provide information, even without clinical symptoms, on pathological changes to gallbladder and biliary tracts. However, early diagnosis of carcinoma of the gallbladder still is rare. Mortality of gallbladder carcinoma has remained unchanged in the Federal Republic of Germany over the past ten years, whereas mortality following cholecystolithiasis has been lowered due to progress in medicine. The surgical risk rises along with age and is low up before 60 years. Indication for cholecystectomy continues to be a highly individual decision which should be considered with particular caution in cases of "asymptomatic" gallstones.
胆囊结石是一种疾病的症状。近期的放射学检查方法，尤其是超声检查，不仅有助于更频繁地检测出胆结石，而且即使在没有临床症状的情况下，也能提供有关胆囊和胆道病理变化的信息。然而，胆囊癌的早期诊断仍然很少见。在过去十年中，德意志联邦共和国胆囊癌的死亡率一直没有变化，而由于医学进步，胆囊结石后的死亡率有所降低。手术风险随年龄增加而上升，60岁之前风险较低。胆囊切除术的指征仍然是一个高度个体化的决定，在“无症状”胆结石的情况下应特别谨慎考虑。
