[Role of surgery in the multidisciplinary treatment of lithiasis of the common bile duct].
The efficacy of surgery was evaluated in 32 patients with common bile duct stones. Twenty-two patients have not undergone a previous cholecystectomy. In 13 cases an endoscopic approach was attempted before surgery. In 13 patients biliary-intestinal anastomoses were performed for large stones or bile duct strictures. In 19 cases common bile exploration with biliary drainage insertion was performed for uncomplicated biliary stones. We had no mortality and morbidity was 9%. We conclude that surgery is the treatment of choice in patients with gallbladder in situ or in cases of endoscopic failure. Endoscopic sphincterectomy may be preferred in poor-risk patients.
Fronda
G R
GR
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Torino.
Capozzi
M P
MP
Campra
D
D
Recchia
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods
Il ruolo della chirurgia nel trattamento multidisciplinare della litiasi della via biliare principale (VBP).