DeBrock B J, Davis B E, Noble M J, Weigel J W, Austenfeld M S, Mebust W K
Department of Surgery, University of Kansas Medical Center, Kansas City.
Urology. 1993 Feb;41(2):103-6. doi: 10.1016/0090-4295(93)90156-5.
We have routinely performed simultaneous cholecystectomy in patients with cholelithiasis undergoing selected radical genitourinary cancer surgery. A total of 31 patients have undergone cholecystectomy at the time of radical nephrectomy (25), radical cystectomy (5), and radical prostatectomy (1). Operative time was increased twenty-five to forty-five minutes. There was no significant increase in blood loss, postoperative total bilirubin, or number of complications. No complications were directly attributable to the cholecystectomy except for 1 patient who had prolonged drainage from a closed suction drain in the gallbladder fossa. We conclude that concomitant cholecystectomy at the time of radical genitourinary cancer surgery does not significantly increase morbidity and recommend that it be performed in the presence of cholelithiasis.
我们常规地在接受特定根治性泌尿生殖系统癌症手术的胆石症患者中同时进行胆囊切除术。共有31例患者在根治性肾切除术（25例）、根治性膀胱切除术（5例）和根治性前列腺切除术（1例）时接受了胆囊切除术。手术时间增加了25至45分钟。失血、术后总胆红素或并发症数量均无显著增加。除1例患者胆囊窝闭式吸引引流时间延长外，无并发症直接归因于胆囊切除术。我们得出结论，在根治性泌尿生殖系统癌症手术时同时进行胆囊切除术不会显著增加发病率，并建议在存在胆石症的情况下进行该手术。
