Mededović I, Kovacic A, Stanisavljević D
Acta Chir Iugosl. 1983;30(1):83-95.
Operations on the biliary tract increase constantly, not only in our country, but around the world. From a total number of operations performed in our department in one year period, those caused by biliary disorders increased from 6.4% (1970) to 28% (1980). The authors present a low mortality rate and few intra- and postoperative complications. By contrasting X-ray and ultrasound, the diagnosis in 97.5% of the cases was exact. Having combined intraoperative cholangiography and choledochoscopy, the percentage of residual stones decrease do 1.5%; there have also been reduced indications of bilio-digestive anastomosis and papillotomy. The common bile duct is not to be closed primarily, instead a T-Tube is to be put in. The authors insist on retrograde cholecystectomy and they place a drain in the majority of cases.
胆道手术不断增加，不仅在我国如此，在全世界都是如此。在我们科室一年期间所做的全部手术中，由胆道疾病引起的手术从1970年的6.4%增至1980年的28%。作者报道了低死亡率以及较少的术中及术后并发症。通过对比X线和超声检查，97.5%的病例诊断准确。结合术中胆管造影和胆管镜检查后，残余结石的百分比降至1.5%；胆肠吻合术和乳头切开术的指征也有所减少。胆总管不应一期缝合，而是要放置T形管。作者坚持逆行胆囊切除术，并且在大多数病例中放置引流管。
