Moreaux J
Centre Medico-Chirurgical de la Porte de Choisy, Paris, France.
Br J Surg. 1994 Jan;81(1):116-9. doi: 10.1002/bjs.1800810142.
Data of 5000 consecutive patients with biliary lithiasis operated on between 1970 and 1990 were recorded prospectively. There were 476 emergency procedures and 125 reoperations. Concomitant abdominal operations were performed in 504 patients. The mean(s.d.) age was 54.7(14.2) years. Cholecystectomy was performed in 4872 patients (97.4 per cent) and intraoperative cholangiography in 4400 (88.0 per cent). There were 612 operations for acute cholecystitis, 579 for common bile duct stones, 50 for acute pancreatitis and 29 reoperations following injury to the bile duct. Complications occurred in 527 patients (10.5 per cent). There was one injury (0.02 per cent) to the hepatic duct. The complication rate was 7.0 per cent following elective cholecystectomy and 17.4 per cent after emergency surgery. The mortality rate was zero after elective procedures and 0.8 per cent after emergency surgery; the mortality rate after concomitant abdominal operations (1.0 per cent) was unrelated to the biliary procedure. The mean(s.d.) hospital stay was 12.8(5.2) days.
前瞻性记录了1970年至1990年间连续接受手术治疗的5000例胆石症患者的数据。其中有476例急诊手术和125例再次手术。504例患者同时进行了腹部手术。平均（标准差）年龄为54.7（14.2）岁。4872例患者（97.4%）进行了胆囊切除术，4400例（88.0%）进行了术中胆管造影。急性胆囊炎手术612例，胆总管结石手术579例，急性胰腺炎手术50例，胆管损伤后再次手术29例。527例患者（10.5%）出现并发症。肝管损伤1例（0.02%）。择期胆囊切除术后并发症发生率为7.0%，急诊手术后为17.4%。择期手术后死亡率为零，急诊手术后为0.8%；同时进行腹部手术的死亡率（1.0%）与胆道手术无关。平均（标准差）住院时间为12.8（5.2）天。
