title: [Simultaneous interventions of the bile ducts and intra-abdominal organs: what is indicated and when?].
abstract: 405 surgical interventions had been carried out simultaneously on the biliary tract and other intraperitoneal organs from 1960 to 1984. The patients were divided into three groups. Concerning group A and B (58 patients) the indication for that double-operation was absolute. The range of postoperative wound infections was 10.3%, complications were noted in 24.1%. Lethality rate was 6.8%, hospitalisation took place for 17.7 days. Concerning group C (347 patients) without absolute indication for surgical treatment on the biliary tract and another intraperitoneal organ wound infections subsequent to operating occurred in 5.7%, lethality rate was 2.3%. Complications could be seen in 12.1% and hospital treatment continued for 15.5 days. Principally occasional operations and surgical treatment carried out simultaneously should be avoided.
mesh_terms: D000005:Abdomen / Q000601:surgery*; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000401:mortality; D012306:Risk; D014945:Wound Healing
vernacular_title: Simultaneingriffe im Bereich der Gallenwege und eines intraabdominalen Organs: Was ist wann indiziert?