Langzeitergebnisse nach einfacher standardisierter Cholecystektomie

Abstract

In a study founded on two random samples of 237 patients each from 1970--1977, 96% of the patients have had no complaints or they have felt much better after simple cholecystectomy. Retrospective analysis of 3822 patients with a standardized simple cholecystectomy with papilloplasty and without cholangiometry and cholangioscopy shows that only 4% have attacks of pain in the right side of the upper abdomen. In half of the cases an organic reason was found which had no connection with the bile duct.

Intraoperative Manometry – A Useful Tool in Biliary Surgery?

“…In modern biliary surgery there are a few sur geons who will take the risk of not exploring the bile ducts for gallstones during operation. For that purpose cholangiography at least is the most common method and therefore a cannula has to be introduced into the CBD [13,17,25],…”

“…ERCP included, have been used in pre operative exploration of the patient, a reli able technique is needed for further reduction of that rate [6,14,15,17,20,[22][23][24], Several methods are in use for intraopera tive investigation of the bile ducts. Besides cholangiography, one of these is manometry to study pressure and flow conditions in the bile system.…”

10. Der symptomlose Gallenstein

“…Von den 3,9 % der Patienten, die nach einer Cholecystektomie in unserer Klinik Beschwerden im rechten Oberbauch angaben, hatte keiner durch eine intemistische Nachuntersuchung belegt, ein organisch bedingtes Substrat im Bereich der Gallenwege [16]. Von den 3,9 % der Patienten, die nach einer Cholecystektomie in unserer Klinik Beschwerden im rechten Oberbauch angaben, hatte keiner durch eine intemistische Nachuntersuchung belegt, ein organisch bedingtes Substrat im Bereich der Gallenwege [16].…”