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[胆囊切开取石术联合胆囊空肠吻合术作为肝硬化门静脉高压症胆石症的手术解决方案]

[Cholecystolithotomy with cholecystojejunostomy as surgical solution for cholelithiasis in portal hypertension caused by hepatic cirrhosis].

作者信息

Confalonieri F, Ballerini A, Santangelo A, Turra G

机构信息

Divisione Chirurgica I Zinelli, Regione Lombardia-USSL n. 65, Ospedale, Città di Sesto San Giovanni, Sesto San Giovanni, Milano.

出版信息

Minerva Chir. 1995 Mar;50(3):253-6.

PMID:7659260
Abstract

Cholecystolithotomy and cholecystojejunostomy has been carried out on 11 patients with severe hypertension from cirrhosis. The indications were frequently recurring attacks of biliary cholic or acute cholecystitis at onset. There was 1 postoperative death from cardiac infarction and only minor in-hospital morbidity. None of the remaining patients has to date developed post-cholecystojejunostomy sequelae. Except the case of extensive inflammation on gangrena, this procedure appears to be a safe and definitive operation, alternative to subtotal cholecystectomy.

摘要

对11例肝硬化重症高血压患者实施了胆囊切开取石术和胆囊空肠吻合术。手术指征为起初频繁发作的胆绞痛或急性胆囊炎。术后有1例死于心肌梗死,住院期间仅有轻微并发症。其余患者至今均未出现胆囊空肠吻合术后的后遗症。除了坏疽性广泛炎症的病例外,该手术似乎是一种安全有效的手术,可替代胆囊次全切除术。

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