Stauber R, Schandalik R
Chirurg. 1981 Dec;52(12):769-72.
The records of 1459 cholecystectomies from 1975 through 1980 were reviewed and the data of the separate one-year periods compared. The use of operative cholangiography rose progressively from 31 to 91% and this change was associated with an increase of common-duct stones and a decrease in number of unnecessary choledochotomies. There was an increasing number of patients undergoing probing of the common duct. Sphincterotomies averaged 10% and there was an average of 3.49% of primary stenosis of the papilla of Vater. Overall mortality was 1.09% for cholecystectomy alone, 3.91% when choledochotomy was done and 4.26% for sphincterotomy.
回顾了1975年至1980年期间1459例胆囊切除术的记录,并对各单一年度的数据进行了比较。术中胆管造影的使用率从31%逐步上升至91%,这一变化与胆总管结石数量的增加以及不必要的胆总管切开术数量的减少相关。接受胆总管探查的患者数量不断增加。括约肌切开术平均为10%, Vater壶腹原发性狭窄平均为3.49%。单纯胆囊切除术的总体死亡率为1.09%,胆总管切开术时为3.91%,括约肌切开术时为4.26%。