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[Experiences with simultaneous exploration of the bile ducts in surgical therapy of gallstone ileus].
- Source :
-
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [Chirurg] 1993 Dec; Vol. 64 (12), pp. 1018-23. - Publication Year :
- 1993
-
Abstract
- During the last 16 years, 14 patients with a gallstone ileus were treated at our institution. In 11 cases we performed in addition to the enterolithotomy, a cholecystectomy and a resection of the fistula as one-stage repair. Despite the high average age (74.3 years) and the presence of various other serious morbidity in our patient population, we only observed a hospital mortality of 7.1%. Serious postoperative complications, such as sepsis and/or shock were not observed. Utilizing today's advanced anesthesia and proper intensive-care therapy, as well as early operative intervention and safe surgical technique, we believe that enterolithotomy with cholecystectomy and fistula resection as one-stage operation, should primarily be considered before performing enterolithotomy alone.
- Subjects :
- Aged
Aged, 80 and over
Cholelithiasis diagnosis
Cholelithiasis mortality
Female
Humans
Intestinal Obstruction diagnosis
Intestinal Obstruction mortality
Intestine, Small surgery
Male
Middle Aged
Postoperative Complications diagnosis
Postoperative Complications mortality
Postoperative Complications surgery
Reoperation
Retrospective Studies
Risk Factors
Survival Rate
Cholecystectomy
Cholelithiasis surgery
Intestinal Obstruction surgery
Subjects
Details
- Language :
- German
- ISSN :
- 0009-4722
- Volume :
- 64
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen
- Publication Type :
- Academic Journal
- Accession number :
- 8119086