Al'perovich B I, Ivanov P M
Vestn Khir Im I I Grek. 1977 Jan;118(1):26-30.
The work is based on the examination of 106 patients, operated in the clinic for acute cholecystitis associated with choledocholithiasis and strictures of Vater's papilla. The operation of choice is a removal of pathologically changed gallbladder, elimination of the cause of cholestasis with restoration of bile passage in the bowel. The technic of choledochoduodenostomy adopted in the clinic is described. The immediate mortality was observed in 2.8%. Choledochoduodenostomy yielded good results in 81.1%, external drainage -- in 70.6%.
这项工作基于对106例患者的检查，这些患者在诊所接受了因胆总管结石和 Vater 壶腹狭窄伴发急性胆囊炎的手术。首选手术是切除病变的胆囊，消除胆汁淤积的原因并恢复肠道胆汁引流。描述了诊所采用的胆总管十二指肠吻合术技术。观察到的即时死亡率为2.8%。胆总管十二指肠吻合术的良好效果为81.1%，外引流术为70.6%。
