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腹腔内放置胆结石引起的败血症及其他并发症。家兔实验研究。

Septic and other complications resulting from biliary stones placed in the abdominal cavity. Experimental study in rabbits.

作者信息

Tzardis P J, Vougiouklakis D, Lymperi M, Kritikos E, Paraschou E, Tierris E, Stavridis J

机构信息

1st Surgical Department, Red Cross Hospital, Athens, Greece.

出版信息

Surg Endosc. 1996 May;10(5):533-6. doi: 10.1007/BF00188402.

DOI:10.1007/BF00188402
PMID:8658334
Abstract

BACKGROUND

The aim of this experimental study is to assess the consequences of biliary stones placed in the abdominal cavity of rabbits.

METHODS

The animals were allocated to five groups. In group A a nonsterile gallstone was used. In group B animals with a nonsterile gallstone received preoperative chemoprophylaxis. In group C a sterile stone was placed in the abdomen. Group D served as control. In group E were animals with a nonsterile stone who had a prolonged follow-up period. Parameters studied postoperatively were temperature, white blood cell count, abscess formation, sepsis, peritonitis, adhesion formation, intestinal obstruction, and histological changes of the omentum enveloping the gallstones.

RESULTS

There was no statistically significant difference among the five groups concerning morbidity, mortality, or histological findings.

CONCLUSIONS

The prevalence of septic complications was higher among the four groups that received gallstones compared to the control group and thus an adverse effect of gallstone implantation can be suggested.

摘要

背景

本实验研究旨在评估将胆结石置于兔腹腔内的后果。

方法

将动物分为五组。A组使用非无菌胆结石。B组使用非无菌胆结石的动物接受术前化学预防。C组将无菌结石置于腹腔内。D组作为对照组。E组是使用非无菌结石且随访期延长的动物。术后研究的参数包括体温、白细胞计数、脓肿形成、败血症、腹膜炎、粘连形成、肠梗阻以及包裹胆结石的大网膜的组织学变化。

结果

五组在发病率、死亡率或组织学结果方面无统计学显著差异。

结论

与对照组相比,接受胆结石的四组中感染性并发症的发生率更高,因此可以认为胆结石植入有不良影响。

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本文引用的文献

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Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases.腹腔镜胆囊切除术的并发症:对4292家医院的全国性调查及77604例病例分析
Am J Surg. 1993 Jan;165(1):9-14. doi: 10.1016/s0002-9610(05)80397-6.
2
Abdominal abscess from gallstones spilled at laparoscopic cholecystectomy. Case report and review of the literature.腹腔镜胆囊切除术中胆结石溢出导致的腹腔脓肿。病例报告及文献综述。
Surg Endosc. 1995 Mar;9(3):344-7. doi: 10.1007/BF00187783.
3
Laparoscopic cholecystectomy. Experience with 375 consecutive patients.
胆囊结石中的活菌频率。
HPB (Oxford). 2004;6(1):28-32. doi: 10.1080/13651820310025192.
4
Dropped gallstones during laparoscopic cholecystectomy: the consequences.腹腔镜胆囊切除术中胆囊结石掉落:后果
World J Surg. 2005 Apr;29(4):437-40. doi: 10.1007/s00268-004-7588-9.
5
Spontaneous erosion of a lost intra-abdominal gallstone through the back eight months following laparoscopic cholecystectomy.腹腔镜胆囊切除术后八个月,一枚遗留在腹腔内的胆结石自发地经背部穿出。
JSLS. 1997 Apr-Jun;1(2):153-7.
腹腔镜胆囊切除术。375例连续患者的经验。
Ann Surg. 1991 Oct;214(4):531-40; discussion 540-1. doi: 10.1097/00000658-199110000-00017.
4
Endoscopic cholecystectomy. An analysis of complications.内镜胆囊切除术。并发症分析。
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5
Complications of laparoscopic cholecystectomy.腹腔镜胆囊切除术的并发症
Surgery. 1991 Oct;110(4):769-77; discussion 777-8.
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Avoidance of bile duct injury during laparoscopic cholecystectomy.腹腔镜胆囊切除术中避免胆管损伤。
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