Lokhvitskiĭ S V, Abeuov M E, Mamonov V T
Klin Khir (1962). 1994(9):30-2.
The surgical treatment results of 68 patients with duodenal diverticulum were analyzed, 21 of whom the various interventions on biliary tracts for cholelithic disease and her complications earlier were conducted. Postcholecystectomy syndrome origin was connected with non-diagnosed and non-eliminated duodenal peripapillary diverticulum. The clinical peculiarities, diagnostic algorithm and the complex of preoperative preparation, surgical treatment and complications prophylaxis are adduced. The necessity of associated terminal common bile duct portion correction plus diverticulectomy or intestine exclusion according to A. G. Zemlianoĭ was suggested.
对68例十二指肠憩室患者的手术治疗结果进行了分析,其中21例患者此前因胆石病及其并发症接受了各种胆道干预措施。胆囊切除术后综合征的病因与未诊断和未消除的十二指肠乳头周围憩室有关。文中列举了临床特点、诊断算法以及术前准备、手术治疗和并发症预防的综合措施。建议根据A.G.泽米亚诺伊的方法,在进行憩室切除术或肠段切除术的同时,对胆总管末端进行联合矫正。