Post-Kolesistektomi Sendromunda Cerrahi Tedavi Sonuçları

Year 1983, Volume: 36 Issue: 3, 289 - 296, 30.09.1983

İbrahim Kayabalı

https://izlik.org/JA73YJ36ZE

Abstract

Bu çahsmada 147 vak'allk kisisel bir seri sunuldu. Bu seride % 19.8 yaygln karacižer hastallgl, % 20,5 safra yollarl selim darllklan, % 19,7 çesitli safra fistülü, % 30,8 post-kolesistektomik choledocholit• hiasis, % 12,3 dystonia biliaris, % pancreatitis chronica, % 4,7 Ductus cysticus artläl ve % 3,4 dižer hastahklar vardl. ilk girisim ortalama 3,9 Yll önce yapllml§tl. Klinik belirtilerin en önemlisi % 85 oramnda ažrldlr. i.V. Kolanjiogra,fi ile % 89 patoloji bulundu. Pre-operatif etyolojik dogru tam oram % 81,6 dlr. Per-operatif manometrik ve kolanjiografik çahsmalar % 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 diger tedavi yöntemleri % 3,38 oranmda kullamldl. Post-operatif morbidite % 24,6, mortalite % 10,9 dur. 1-25 Yll takib edilen uzak sonuçlar % 71,4 sifa, % 11,6 saläh, % 5,4 kötü ve nüks ve % 10,9 exitus biçimindedir.

Keywords

l. Post-operatif , Pre-operatif , morbidite

Results of Surgical Treatment in Post-Cholecystectomy Syndrome

https://izlik.org/JA73YJ36ZE

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 dyskinesia„ 8,9 % chronic pancreatitis, % cystic duct remnant, and 3,4 % other pathologies. There was an average of % 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 3,38 % others ope'rations. Our post-operative morbidity was 24,8 % mortality was 10,9 %. 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

pathologies , sphincteroplasty , operations

References

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