Savelév V S, Filimonov M I, Vasilenko Iu V, Kapranov S A, Vinokurov M M
Khirurgiia (Mosk). 1995 Jan(1):23-5.
Data on the treatment of 228 patients with calculous cholecystitis complicated by obstructive jaundice are reported. Two-stage treatment was applied. In the first stage endoscopic and roentgenoendobiliary therapeutic interventions were undertaken to relieve jaundice and remove its causes. In the second stage a planned surgical operation was conducted after elimination of biliary hypertension, which consisted in cholecystectomy in the majority of patients. Such therapeutic tactics reduced mortality by half.
报告了228例结石性胆囊炎合并梗阻性黄疸患者的治疗数据。采用了两阶段治疗。第一阶段进行内镜和X线内镜胆道治疗干预以缓解黄疸并消除其病因。第二阶段在消除胆道高压后进行计划性外科手术,大多数患者的手术为胆囊切除术。这种治疗策略使死亡率降低了一半。