Pickleman J
Can J Surg. 1986 Nov;29(6):429-33.
There are many controversies regarding the surgical management of calculous gallbladder disease. Newer data in the surgical literature and competing medical treatments compound this confusion. In this guest lecture the author reviews current data and provides an update in seven controversial areas: the timing of operation in acute cholecystitis, the management of the diabetic patient with gallstones, the treatment of the patient with asymptomatic gallstones, the medical treatment of gallstones, the use and abuse of operative cholangiography, the management of the patient with gallstone pancreatitis and management of the patient with acalculous cholecystopathy.
关于结石性胆囊疾病的外科治疗存在诸多争议。外科文献中的新数据以及相互竞争的医学治疗方法加剧了这种混乱。在本次客座讲座中，作者回顾了当前数据，并在七个有争议的领域提供了最新信息：急性胆囊炎的手术时机、糖尿病合并胆结石患者的管理、无症状胆结石患者的治疗、胆结石的药物治疗、术中胆管造影的使用与滥用、胆石性胰腺炎患者的管理以及无结石性胆囊病患者的管理。
