Maruf M, Baev S
Khirurgiia (Sofiia). 1998;51(2):5-7.
Data concerning operative treatment of 227 patients with lithiasis of the extrahepatic biliary ducts, covering an eleven-year period (1985 to 1995 inclusive), are presented. In all cases diagnosis and operation are done in the Second Surgical Clinic at the Medical University--State University Hospital "Alexandrovska"--Sofia. By type the surgical interventions are distributed as follows: external drainage of hepaticocholedochus--122 cases (53.74 per cent), choledochoduodenostomy 69 (30.39 per cent) and transduodenal papillosphincterotomy 36 (15.85 per cent). Fifteen patients develop postoperative complications (6.60 per cent), and in five patients the outcome is fatal with postoperative lethality amounting to 2.20 per cent. The basic indications for the various types of surgical interventions are established.
本文呈现了1985年至1995年（含）这十一年间227例肝外胆管结石患者的手术治疗数据。所有病例的诊断和手术均在索菲亚医科大学国立大学医院“亚历山德罗斯卡”第二外科诊所进行。手术干预类型分布如下：肝总管外引流术122例（53.74%），胆总管十二指肠吻合术69例（30.39%），经十二指肠乳头括约肌切开术36例（15.85%）。15例患者出现术后并发症（6.60%），5例患者死亡，术后死亡率为2.20%。确定了各种手术干预的基本指征。
