Huguier M, Lacaine F, Houry S, Pascal G
Arch Surg. 1985 Feb;120(2):241-2. doi: 10.1001/archsurg.1985.01390260099014.
After the opening of the common bile duct, several controversial procedures may be used. In choledocholithiasis, our preference is to perform choledochoduodenostomy in older patients. We report the results in 77 consecutive patients with a mean age of 75 years. There were two hospital deaths (2.6%). Follow-up ranged from six months to 15 years, with an average of 6.7 years. Fifty patients are alive and well. Twenty-five patients have died. Only two patients were unavailable for follow-up. Expected mortality in the French population corresponding in age and sex was 29 deaths and the overall survival is not different, including the two postoperative deaths. Delicate technique allows anastomoses to ducts of any size, with no difference in long-term survival compared with a French population similar in age and sex.
胆总管切开术后，可能会采用几种有争议的手术方法。对于胆总管结石患者，我们更倾向于对老年患者施行胆总管十二指肠吻合术。我们报告了77例连续患者的结果，这些患者的平均年龄为75岁。有2例医院死亡病例（2.6%）。随访时间从6个月到15年不等，平均为6.7年。50例患者存活且状况良好。25例患者已死亡。只有2例患者无法进行随访。法国同年龄和性别的人群预期死亡率为29例死亡，总体生存率没有差异，包括2例术后死亡病例。精细的技术可实现与任何大小的胆管进行吻合，与法国同年龄和性别的人群相比，长期生存率没有差异。
