Koshelev V N, Gol'dshteĭn D V, Sionskaia T G, Shub G M
Vestn Khir Im I I Grek. 1993 May-Jun;150(5-6):10-2.
A considerable frequency of infected bed of the gallbladder in different forms of cholecystitis was established, the anaerobic microflora being inoculated more often. A direct dependence of the frequency of infecting the bile and gallbladder bed on the patient's age and duration of having chronic cholecystitis was shown. The sterilization and prevention of reinfection of the gallbladder bed after the removal of it can be achieved by the laser irradiation of the total bed surface inspite of the absence of clear symptoms of acute inflammation of the bladder and the surrounding tissues, and the cleansing should be performed after the manipulations on extrahepatic bile ducts are completed.
已确定在不同形式的胆囊炎中,胆囊感染床的发生率相当高,厌氧菌感染更为常见。研究表明,胆汁和胆囊床感染的频率与患者年龄及慢性胆囊炎病程直接相关。尽管胆囊及周围组织无明显急性炎症症状,但通过对胆囊床整个表面进行激光照射,可实现胆囊床切除后的杀菌及预防再感染,且应在肝外胆管操作完成后进行清理。