D'iachenko P K, Serdiuk I A
Vestn Khir Im I I Grek. 1975 Oct;115(10):32-37.
Among 206 examined patients with cholecystitis and similar diseases in 112 (65%) cases, as evidenced by the authors' findings, the gallbladder proved to be non-functioning. Its escape in the biliary system was functional (indirect) or organic (absolute). The main causes of a direct organic escape of the gallbladder are as follows: destructive changes in its walls, strictures, strangulated gall stones, shrinkage or hydropsy. The reliable preoperative diagnosis of an escaped gallbladder by means of accelerated chromoduodenal catheterization, intravenous (infusion-drip) or associated (intravenous-peroral) cholecystocholangiography, correlated with the anamnesis data and clinical signs, rather speaks in favour of cholecystectomy on absolute indications.
在206例接受检查的胆囊炎及类似疾病患者中，根据作者的研究结果，有112例（65%）患者的胆囊无功能。其在胆道系统中的逸出为功能性（间接性）或器质性（绝对性）。胆囊直接器质性逸出的主要原因如下：胆囊壁的破坏性改变、狭窄、绞窄性胆结石、萎缩或积水。通过加速十二指肠导管造影、静脉内（静脉滴注）或联合（静脉内-口服）胆囊胆管造影，结合病史资料和临床体征，对逸出胆囊进行可靠的术前诊断，更支持在绝对指征下进行胆囊切除术。
