Moore E E, Kelly G L, Driver T, Eiseman B
Arch Surg. 1979 Apr;114(4):515-8. doi: 10.1001/archsurg.1979.01370280169028.
Cholecystostomy was performed on 22 patients with acute cholecystitis after partial (13) or complete (9) removal of gallbladder stones. One patient had complementary common-duct drainage. Early mortality occurred in two patients. Three patients with associated cholangitis but intraoperative reflux of cysticduct bile were all treated by cholecystostomy alone and survived. For the poor-risk patient with cholecystitis, cholecystostomy is effective. When there is associated cholangitis and documented cystic-duct patency, cholecystostomy is also sufficient. When accompanying cholangitis is associated with cystic-duct occlusion, choledochotomy and T tube drainage should be added.
对22例急性胆囊炎患者在部分（13例）或完全（9例）取出胆囊结石后实施了胆囊造口术。1例患者同时进行了胆总管引流。2例患者发生早期死亡。3例合并胆管炎但术中胆囊管胆汁反流的患者均仅接受胆囊造口术治疗并存活。对于患有胆囊炎的高危患者，胆囊造口术是有效的。当合并胆管炎且胆囊管通畅时，胆囊造口术也足够了。当伴发的胆管炎与胆囊管阻塞相关时，应加行胆总管切开术和T管引流。
