Thompson J S, Philben V J, Hodgson P E
Am J Surg. 1984 Dec;148(6):821-4. doi: 10.1016/0002-9610(84)90446-x.
Incidental cholelithiasis was encountered at the time of celiotomy in 56 patients. Thirty-three of the patients underwent concomitant cholecystectomy. The overall morbidity and mortality were 27 and 3 percent, respectively, but only one complication (3 percent) was clearly related to the cholecystectomy. Cholecystectomy was not performed in 23 patients. Within 6 months of primary celiotomy, acute cholecystitis developed in 11 patients, 3 had attacks of biliary colic, and 2 became jaundiced. Fifteen patients (65 percent) underwent cholecystectomy and 6 of the 15 (40 percent) required common bile duct exploration. Concomitant cholecystectomy adds minimal morbidity to the operation and should be performed unless specific contraindications exist. Left untreated, cholelithiasis becomes symptomatic and leads to subsequent operation in most patients, which may require a more extensive procedure producing greater morbidity.
56例患者在剖腹手术时发现有偶然的胆结石。其中33例患者同时接受了胆囊切除术。总体发病率和死亡率分别为27%和3%，但只有1例并发症（3%）与胆囊切除术明确相关。23例患者未进行胆囊切除术。在初次剖腹手术后6个月内，11例患者发生了急性胆囊炎，3例出现胆绞痛发作，2例出现黄疸。15例患者（65%）接受了胆囊切除术，其中15例中的6例（40%）需要探查胆总管。同时进行胆囊切除术只会给手术增加极少的发病率，除非存在特定禁忌证，否则都应进行。胆结石若不治疗，大多数患者会出现症状并导致后续手术，这可能需要更广泛的手术操作，从而产生更高的发病率。
