Baskakov V A, Kutiakov M G, Ermolaev V A
Vestn Khir Im I I Grek. 1987 Oct;139(10):34-7.
The article generalizes an experience with the treatment of 276 patients with mechanical jaundice. The correct diagnosis was made in 75% of cases by routine clinical methods, while laparoscopy gave the correct diagnosis in 92% of the patients. Benign jaundice was found in 218 patients, 216 of them being operated upon. Eighteen patients died after operation (8.3%). Most patients were subjected to associated operations. Terminolateral choledochal anastomosis which was used in 22 patients is positively estimated. Tumors were responsible for jaundice in 58 patients (21%). All of these patients were operated upon. Eight patients died after operation (13.8%).
本文总结了276例机械性黄疸患者的治疗经验。通过常规临床方法，75%的病例得以正确诊断，而腹腔镜检查使92%的患者获得了正确诊断。218例患者为良性黄疸，其中216例接受了手术。18例患者术后死亡（8.3%）。大多数患者接受了联合手术。对22例患者采用的端侧胆总管吻合术给予了肯定评价。58例患者（21%）的黄疸由肿瘤引起。所有这些患者均接受了手术。8例患者术后死亡（13.8%）。
