Setlacec D, Popa G
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1979 May-Jun;28(3):161-70.
A total of 125 cholecystectomized patients are analized, that underwent new surgery for major biliary disturbances. From this study were excluded patients in whom re-interventions were performed for immediate postoperative complications, for surgical accidents, those in whom the primary intervention involved the major biliary pathway, as well as those in whom reintervention was necessary because of other disturbances. 72,8% of the patients in whom reinterventions had to be performed presented one or more obstacles in the major biliary pathway in the authors' opinion coexisted with the initial cholelithiasis. The authors consider that reinterventions should be performed as early as possible, interpretation of the disturbances sequellae of cholecystectomy representing a futile temporization and making more severe the evolution of the patient's condition.
总共对125例接受胆囊切除术的患者进行了分析,这些患者因严重胆道疾病接受了再次手术。本研究排除了因术后即刻并发症、手术意外而进行再次干预的患者,排除了初次手术涉及主要胆道途径的患者,以及因其他疾病而需要再次干预的患者。在作者看来,必须进行再次干预的患者中有72.8%在主要胆道途径中存在一个或多个障碍,这些障碍与最初的胆石症并存。作者认为,应尽早进行再次干预,对胆囊切除术后疾病后遗症的解读是徒劳的拖延,会使患者病情的发展更加严重。