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Partial Cholecystectomy Safe and Effective

机译:部分胆囊切除术安全有效

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摘要

Patients undergoing surgical treatment for calculous disease were considered to have had a partialcholecystectomy performed when a part of the gall bladder wall was retained for technical reasons.Forty patients underwent partial cholecystectomy: for chronic cholecystitis (20), acute cholecystitis (4),Mirizzi's syndrome (14), portal hypertension or partially accesible gall bladder (one patient each). Fourpatients (10%) developed infective complications and two patients had retained common bile ductstones. In a mean follow up period of 13 months (range 1–36 mths), only 3 patients have ongoing milddyspeptic symptoms while the rest have remained asymptomatic. Partial cholecystectomy has beenfound to be a safe and effective procedure in difficult cholecystectomy situations, since it combines themerits of cholecystectomy and cholecystostomy.
机译:由于技术原因,经手术治疗结石病的患者被认为已进行了部分胆囊切除术,保留了部分胆囊壁。40例患者进行了部分胆囊切除术:慢性胆囊炎(20),急性胆囊炎(4),米里兹综合征(14)门脉高压或部分可触及的胆囊癌(每例一名)。四名患者(10%)发生了感染并发症,两名患者保留了胆总管结石。在平均13个月的随访期内(1-36个月),仅3例患者持续出现轻度消化不良症状,其余患者无症状。已经发现部分胆囊切除术在困难的胆囊切除术情况下是一种安全有效的方法,因为它结合了胆囊切除术和胆囊造口术的优点。

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