[Lithiasic cholecysto-choledochal fistulas. Peculiarities of diagnosis and surgical treatment].
On the basis of a study of 16 cases the authors discuss the etiopathogenic, anatomo-pathologic and therapeutic aspects of biliobiliary fistulae. The age of the patients ranged between 27 and 75 years and all had biliary lithiasis for a long time. The authors stress the difficulties of the pre- and intraoperatory diagnosis, as well as the surgical methods of treatment. In relation to the anatomo-clinical forms the authors have performed the following types of intervention: cholecystectomy with evacuatory choledocotomy and Kehr drainage (9 cases) - with 2 deaths, and a failure, evacuatory choledocotomy with external biliary drainage in one case, choledocoduodenostomy (3 cases) - with one death, Oddi sphincteroplasty (2 cases), and hepato-jejunostomy in one case.
D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002769:Cholelithiasis / Q000150:complications*; D005260:Female; D042882:Gallstones / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged
Fistulele colecisto-coledociene litiazice. Particularităţi de diagnostic şi de terapeutică chirurgicală.