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[胆总管结石合并梗阻性黄疸的外科治疗]

[Surgical treatment of choledocholithiasis complicated by obstructive jaundice].

作者信息

Mizaushev B A, Kubalov I A, Kardanov L M, Kugotov A G

出版信息

Klin Khir (1962). 1994(11):51-2.

PMID:7658663
Abstract

Cholecystectomy was conducted in 820 patients. In 115 (14,0%) of them it was combined with interventions performed on extrahepatic biliary ducts for choledocholithiasis and obstructive jaundice. Patients aged from 20 to 90 years. There were 30 men and 85 women. Choledocholithotomy with subsequent inspection of the common biliary duct (CBD) distal portion was considered as the operation of choice. Operation was concluded with external drainage of CBD, choledochoduodenal anastomosis formation and transduodenal papillosphincterotomy conduction. Of the patients operated on 6 (5,2%) have died.

摘要

820例患者接受了胆囊切除术。其中115例(14.0%)因胆总管结石和梗阻性黄疸而同时进行了肝外胆管干预手术。患者年龄在20至90岁之间。男性30例,女性85例。胆总管切开取石并随后检查胆总管远端被视为首选手术方式。手术最后进行胆总管外引流、胆总管十二指肠吻合术及经十二指肠乳头括约肌切开术。接受手术的患者中有6例(5.2%)死亡。

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