[Influence of preoperative selective endoscopy on the results and treatment concept of bile duct surgery].
Combined endoscopic and surgical intervention was undertaken in 728 consecutive patients with primary or secondary gallstone disease. In primary gallstone disease the combined treatment resulted in a residual stone rate of 1.28%, and 1.09% for the total group. Intervention on the lower biliary tract (n = 228) resulted in a morbidity rate of 7.4% and a mortality rate of 1.3%. The corresponding figures with purely endoscopic procedures were 1.2 and 0.0%, respectively. Intraoperatively manometrically tested papillary function after endoscopic papillotomy (EPT) revealed no significant difference from normal. In patients with proven biliary pancreatitis the mortality rate after EPT was 2.9%. These results indicate that routine inclusion of endoscopy into the surgical treatment concept for gallstone disease can improve the overall results.
Boeckl
O
O
I. Chirurgische Abteilung, Landeskrankenanstalten Salzburg.
Heinerman
M
M
Pimpl
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D001652:Bile Ducts / Q000601:surgery*; D002758:Cholangiography; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D004724:Endoscopy; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications; D011446:Prospective Studies
Einfluss der präoperativen selektiven Endoskopie auf Resultate und Therapiekonzept der Gallengangschirurgie.