Gorbunov O M, Abrosimov V N, Sakhno V D, Tsitovich F V, Savchenko Iu P, Korovin A Ia, Petrov Iu I
Khirurgiia (Mosk). 1996(6):61-3.
458 patients with postcholecystectomy syndrome have been examined. In 289 (63.1%) of them the reason of complication and location of the lesion in biliopancreatic-duodenal zone have been specified. In 212 (73.4%) patients the endoscopic treatment was used, including papillosphincterotomy with removal of concrements; suprapapillary choledochoduodenostomy; nasobiliary draining, endoprosthesis. In 181 (85.4%) of cases these methods appeared to be efficient and final; in 31 (14.6%) they promoted stabilization of clinical status of patients and performing surgery in more favorable conditions. Complications have been registered in 4 (1.9%) patients, 1 patient (0,47%) died. The authors advocate endoscopic methods as methods of choice in postcholecystectomy syndrome.
对458例胆囊切除术后综合征患者进行了检查。其中289例（63.1%）明确了并发症原因及胆胰十二指肠区病变部位。212例（73.4%）患者采用了内镜治疗，包括乳头括约肌切开取石术；乳头上方胆总管十二指肠吻合术；鼻胆管引流、内置支架。181例（85.4%）病例中这些方法显示有效且为最终治疗手段；31例（14.6%）患者病情得到临床稳定并在更有利条件下接受了手术。4例（1.9%）患者出现并发症，1例（0.47%）死亡。作者主张将内镜治疗方法作为胆囊切除术后综合征的首选治疗方法。
