<原著>良性胆道疾患について : 最近の経験および文献的考察

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Fifty consecutive cases of benign biliary tract disease were experienced since July, 1975 to September, 1977 in our institution. The operations were performed on 47 cases, which consisted of 44 cholelithiases, 2 acute postoperative cholecystitis and one primary sclerosing cholangitis (PSC). Cholecystolithiasis was most common and cholecystectomy was made on 28 cases. Other operations were 9 of cholecystectomy with choledochotomy, 2 of choledochotomy, 2 of choledocho-jejunostomy, 2 of papilloplasty and 2 of cholecystomy. Choledocho-duodenostomy, and cholecystectomy with choledochotomy and partial hepatic lobectomy were made one by one. The obtained gallstones were analyzed and cholesterol stone occupied 75 percent of the specimens. The culture of collected bites at operation revealed E. coli and other microorganisms in the choledocholithiasis and procrastinated cholecystolithiasis. The ratio of male to female was 27 : 17 in cholelithiasis, men in the 6th decade and women in 2〜6th decades were prevalent. Brief comment and review of the literature were done about postoperative cholecystitis, PSC and interesting cases associated with cholelithiasis, e.g. gallstone ileus, porcelain gallbladder, cystic duct remnant, etc. Diseases of the biliary tract have been a difficult problem against surgical intervention. In order to obtain better postoperative result, careful management of patients, profound perusal of the literature, opulent experience and skilled hands are indispensable.
近畿大学の論文
1977-12-25

<原著>良性胆道疾患について : 最近の経験および文献的考察

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