VanLandingham S B, Broders C W
Surg Clin North Am. 1982 Apr;62(2):241-7. doi: 10.1016/s0039-6109(16)42683-6.
Gallstone ileus, although uncommon, requires urgent and appropriate surgical therapy if unacceptable morbidity and mortality are to be avoided. Enterolithotomy alone remains the mainstay of operative treatment for gallstone ileus, but the additional performance of a one-stage cholecystectomy and repair of fistula if desirable if the condition of the patient will allow it. One must use good judgment in selecting a surgical procedure. It is imperative to recall that the primary goal in the surgical treatment of gallstone ileus is to save a life. Future complications of the diseased gallbladder and the cholecystoenteric fistula may be treated electively under more ideal circumstances when and if they occur. Gallstone ileus, like other complications of cholelithiasis, remains a strong argument for early cholecystectomy in patients with gallstones.
胆结石性肠梗阻虽不常见，但要避免不可接受的发病率和死亡率，就需要紧急且恰当的手术治疗。单纯肠切开取石术仍是胆结石性肠梗阻手术治疗的主要方法，但如果患者情况允许，在条件适宜时，一期胆囊切除术及瘘管修复术可作为附加手术。在选择手术方式时必须谨慎判断。必须牢记，胆结石性肠梗阻手术治疗的首要目标是挽救生命。患病胆囊及胆囊肠瘘的未来并发症若发生，可在更理想的情况下择期治疗。与胆石症的其他并发症一样，胆结石性肠梗阻有力地支持了胆结石患者早期行胆囊切除术。
