دورية أكاديمية
Outcome of gallbladder preservation in surgical management of primary bile duct stones.
| العنوان: | Outcome of gallbladder preservation in surgical management of primary bile duct stones. |
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| المؤلفون: | Tian MG; Department of Hepatobiliary Surgery, Affiliated Hospital of Jining Medical College, Jining City 272129, Shandong Province, China. tian88@hotmail.com, Shi WJ, Wen XY, Yu HW, Huo JS, Zhou DF |
| المصدر: | World journal of gastroenterology [World J Gastroenterol] 2003 Aug; Vol. 9 (8), pp. 1871-3. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Print ISSN: 1007-9327 (Print) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing : WJG Press, c1998- |
| مواضيع طبية MeSH: | Digestive System Surgical Procedures*/methods , Gallbladder* , Hepatectomy*/methods, Gallstones/*surgery , Hepatic Duct, Common/*surgery , Liver/*surgery, Adult ; Aged ; Cholangiography ; Humans ; Middle Aged |
| مستخلص: | Aim: To evaluate the methods and outcome of gallbladder preservation in surgical treatment of primary bile duct stones. Methods: Thirty-five patients with primary bile duct stones and intact gallbladders received stone extraction by two operative approaches, 23 done through the intrahepatic duct stump (RBD-IDS, the RBD-IDS group) after partial hepatectomy and 12 through the hepatic parenchyma by retrograde puncture (RBD-RP, the RBD-RP group). The gallbladders were preserved and the common bile duct (CBD) incisions were primarily closed. The patients were examined postoperatively by direct cholangiography and followed up by ultrasonography once every six months. Results: In the RBD-IDS group, residual bile duct stones were found in three patients, which were cleared by a combination of fibrocholedochoscopic extraction and lithotripsy through the drainage tracts. The tubes were removed on postoperative day 22 (range: 16-42 days). In the RBD-RP group, one patient developed hemobilia and was cured by conservative therapy. The tubes were removed on postoperative day 8 (range: 7-11 days). Postoperative cholangiography showed that all the gallbladders were well opacified, contractile and smooth. During 54 (range: 6-120 months) months of follow-up, six patients had mildly thickened cholecystic walls without related symptoms and further changes, two underwent laparotomies because of adhesive intestinal obstruction and gastric cancer respectively, three died of cardiopulmonary diseases. No stones were found in all the preserved gallbladders. Conclusion: The intact gallbladders preserved after surgical extraction of primary bile duct stones will not develop gallstones. Retrograde biliary drainage is an optimal approach for gallbladder preservation. |
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| تواريخ الأحداث: | Date Created: 20030815 Date Completed: 20030924 Latest Revision: 20190430 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4611565 |
| DOI: | 10.3748/wjg.v9.i8.1871 |
| PMID: | 12918142 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1007-9327 |
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| DOI: | 10.3748/wjg.v9.i8.1871 |