報告經(jīng)手術(shù)證實的1422例膽囊結(jié)石連續(xù)病例的腹部外科合并癥。手術(shù)證實，該組病例除膽道結(jié)石外，還登菜胃癌等腹部外科疾病55例，其中胃癌、膽囊等惡性病16例，約占總例數(shù)的1.1%，并以膽囊癌最為多見(11例)。本文結(jié)果提示：膽囊結(jié)石患者中約3.9%合并有膽囊腸道瘺、消化性潰瘍、膽囊癌等需腹部外科手術(shù)處理的良惡性合并癥。對病史長、年齡大、病痛主訴多，僅以膽囊結(jié)石不能完全解釋其腹部外科癥狀的病人，宜加休消化道鋇劑X線攝片和纖維內(nèi)窺鏡檢等有關(guān)檢查。這類病人在上述附加檢查無陽性發(fā)現(xiàn)情況下，做膽囊切除宜選開腹術(shù)式，若選腹腔鏡膽囊切除則難于全面探發(fā)現(xiàn)前述合并癥，也難于作相應(yīng)處理。
引用本文： 高履莊,劉文清,胡建中,周慶賢. 1422例膽囊結(jié)石患者腹部外科合并癥分析. 中國普外基礎(chǔ)與臨床雜志, 1994, 1(2): 94-96. doi: 復(fù)制
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| 2. | Peter D, Fondrinier E, Rottman N, et al. Parietal seeding of carcinoma of the gallbladder after laperoscopic cholecystectomy. Br J Surg, 1992;79(3):230. |
- 1. Najarian JS. Delaney JP. Advances in hepaic, biliary and pancreatic surgery. Chicago. Year: Book medical pulishers Inc, 1985:327～333.
- 2. Peter D, Fondrinier E, Rottman N, et al. Parietal seeding of carcinoma of the gallbladder after laperoscopic cholecystectomy. Br J Surg, 1992;79(3):230.