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

Year 1983, Volume: 36 Issue: 2, 289 - 296, 30.06.1983

İsmail Kayabalı

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

Supporting Institution

-

Project Number

-

Thanks

-

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

Supporting Institution

-

Project Number

-

Thanks

-

References

• I Hardy, J.D., The postcholecystectomy syndrome, sa : 987089, in Hardy, J.D., Rhoads textbook of Surgery principles and practice, 5. baskl, J.B. Lippincottl Filadelfia ve Toronto 1977.- Kayaball, i.
• 2.Résultats de traitement chirurgical du syndrôme des cholécystecto misés, Lyon Chir., 57 : 537-540, 1960. 3. Syndrôrne post-cholécystecLomie; résultats du traitement chirurgical d'après 47 cas personnels, idem, 67 368-370, 1971.
• 4.Résultats éloignés du traitement chirurgical dans 70 cas de cholangiolite chronique récidivante et d'hépatite chronique, idem. 70 98-100, 1974. Kayabah, i.. Ceylan i. ve Aras, N., Résultats de la chirurgie cholédccienne, idem, 72 : 251-253, 1973. Kayaball, Post-kolesistektomi sendromunun cerrahi tedavi sonuçlarl (1-20 YLI izlenen go vak'allk bir serinin incelenmesi), A.Û. TLP Fak. Mec., 31 1071-1085, 1978.
• 7 - Kayabah, l. ve Akaydm, M., Post-kolesistektcmik koledokolitiasis, idem, 31 12011312, 1978.
• 8 - Kayaball, ve Anadol, E., Safra yollarman selim darllk ve fistüllerinde tedavi sonuçlan (1-16 Yll izlenen 49 vak'allk bir serinin incelenmesi), idem, 31 : 1197-1210, 1970. Kayaball, Résultats de la neurectomie péri-artðre hépatique dans le traite. ment des maladies diffuses du foie, Lyon Chir., 75 : 162-164, 1979. Résultats du traitement chirurgical dans le pancréatite chronique, idem, 76 . 259-260, 1080.
• 11 - Kayaball, i. ve Oygür, N., Résultats éloignés de la cholédoco-duodénostamie d'indication relative, idem, 77 : 369-370, 1081.
• 12 - Mallet-Guy, P. ve al, Syndrome post-cholécystectomie, 146 sahife, Masson, Paris : 1970.
• 13 - Sitenko, V.M ve Neçay, A.l., Postkolesistektomi sendromu ve safra yollarmda tekrarlanan operasyonlar (Rusça), 240 sahife, Medisina, Leningrad ; 1972.'