Caloghera C, Crişan G, Nicola T, Bordoş D, Mătuşan A, Mărgan M
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Jan-Feb;29(1):9-16.
On the basis of a total of 3692 surgical interventions performed on biliary pathways, of which 431 (11,6%) for lithiasis of the hepato-choledocus, the authors discuss the indications, the limitations and the results of surgical treatment in this affection. The postoperative death rate was 10,3% in the first 10 years of the period during which these interventions have been performed and decreased to 5,5% in the last 10 years. The late results were good and very good in 85% of the cases. In view of the continuing decrease in the death rate after surgery, and for improving late results, the authors stress the necessity of early interventions in the lithiasis of main biliary pathways. They also stress the correct exploration of the hepato-choledocus in the course of all surgical intervention upon the biliary pathways.
基于对胆道进行的总共3692例外科手术，其中431例（11.6%）是针对肝外胆管结石的，作者讨论了这种疾病外科治疗的适应症、局限性和结果。在进行这些手术的最初10年里，术后死亡率为10.3%，而在最后10年降至5.5%。85%的病例远期结果良好或非常好。鉴于手术后死亡率持续下降以及为了改善远期结果，作者强调对主要胆道结石进行早期干预的必要性。他们还强调在所有胆道手术过程中对肝外胆管进行正确探查的重要性。
