Zaitsev V T, Tiscenko A M, Maloshtan A V, Ivannikov S V, Sarian I V
Kharkov Scientific Research Institute of General and Urgent Surgery.
Wiad Lek. 1997;50 Suppl 1 Pt 1:239-41.
At present the endoscopic methods are the most acceptable in the treatment of gall-stone disease and its complications. Obstructions of terminal part of common bile duct and bile duct stones are removed by means of endoscopic sphincterotomy. Cholecystectomy is performed by means of laparoscope. A decrease in mortality and post-operative complications has been noted. At the same time negative affects of endoscopic operations in patients with concomitant somatic diseases were revealed. These patients require individual methods of approach to guarantee safe operation.
目前，内镜治疗方法在胆结石疾病及其并发症的治疗中是最容易被接受的。通过内镜括约肌切开术可清除胆总管末端梗阻及胆管结石。采用腹腔镜进行胆囊切除术。已观察到死亡率和术后并发症有所降低。同时，也发现了内镜手术对合并躯体疾病患者的负面影响。这些患者需要个体化的治疗方法以确保手术安全。
