Post-Kolesistektomi Sendrom'unda Cerrahi Tedavi Sonuçları (I - 25 Yıl İzleyen 147 Vak'alık Bir Serinin İncelenmesi)

Abstract

Bu çalışmada 147 vak'allk kisisel bir seri sunuldu. Bu seride % 19*8 yaygm karaciger hastallığı % 20,5 safra yollarl selim darllklan, % 19,7 çesitli safra fistülü, % 30,8 post-kolesistektomik choledocholit• hiasis, % 12,3 dystonia biliaris, % 8,9 pancreatitis chronica, % 4,7 Ductus cysticus artlžl ve % diger hastallklar vardl, Îlk girisim ortalama 3,9 Yll önce yaplIm1St1. Klinik belirtilerjn en önemlisi % 85 oramnda ažrldlr. i.V. Kolanjiografi ile % 89 patoloji bulundu. Pre-opera tif etyolojik dogru tam oram % 81,6 dlr. Per-operatif manometrik ve kolanjiografik çall¥nala.r % 6,5 normal sonuç verdi, Bu seride biliodijestif anastomozlar % 22,6, sfenkteroplasti % 3,6, (T) drenajl % 44,8, otonom sinirler üzerinde yapllan girisimler % 26 ve dižer tedavi yöntemleri % 3,38 oranmda kullamldl. Post-operatif morbidite % 24.6, mortalite % 10,9 dur. 1-25 3711 takib edilen uzak sonuçlar % 71,4 sifa, % 11,6 salàh, % 5,4 Icötü ve nüks ve % 10,9 exitus biçimindedir

Keywords

• karaciger hastallığ
• fistül
• post-kolesistektomik

The results of Surgical management, in Post-Cholecystectomy Syndrome (A study of 147 cases followed between 1 to 25 years)

Abstract

In this study a serie of 147 personel cases are presented. This serie consiste of, 19,4 % liver damage, 20,5 % benign biliary tract strictures, 19,7 % various types of biliary fistulas, 30,8 % residual common duct stones, 12,3 % biliary f biliary fistulas, 8,9 % chronic pancreatitis, % cystic duct remnant, and 3,4 % other pathologies. There was an average of 3,9 % years period between the onset of complaints and primary operation. The manifestations was 85 % pain. Intravenous cholangiography proved to be valuable in 89 % of the cases. In this serie we used, 44,8 % T-tube drainage of common bile duct, 26 % operations on autonome nerves, 22,6 % various bilio-digestive anastomosis, % sphincteroplasty and 3,33 % others ope'rations. Our post-operative morbidity was 24,8 % mortality was 10,9 0/c . Far results between 1 to 25 years are 71,4 % total cure, 11,6 % amelioration, 5,4 % bad results and recideive and, 10,9 % exitus,

Keywords

• f biliary fistulas
• pathologies
• autonome nerves

References

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