Aminev A M, Gorbunov O M
Vestn Khir Im I I Grek. 1980 Dec;125(12):52-6.
The analysis of results of the examination and surgical treatment of 567 patients with obstructive jaundice is presented. In 198 (34,9%) jaundice was caused by a cholelithic disease, in 362 cases (64.9%) there were tumoral lesions, in 7 (1,2%)- parasitogenic lesions of the organs of the hepatobiliopancreatoduodenal zone. The kinds of operations in obstructive jaundice are described with recommendations to create transvesicular hepatochlangiojejunoanastomosis in high blocks of bile tracts. Practical recommendations for the improved diagnosis of obstructive jaundice, its prevention and decreased postoperative lethality are given.
本文对567例梗阻性黄疸患者的检查及外科治疗结果进行了分析。其中，198例（34.9%）黄疸由胆石症引起，362例（64.9%）存在肿瘤性病变，7例（1.2%）为肝胰胆十二指肠区器官的寄生虫性病变。文中描述了梗阻性黄疸的手术方式，并建议在高位胆管梗阻时进行经胆囊肝管空肠吻合术。同时，还给出了关于改善梗阻性黄疸诊断、预防及降低术后死亡率的实用建议。
