title: [Experiences with simultaneous exploration of the bile ducts in surgical therapy of gallstone ileus].
abstract: During the last 16 years, 14 patients with a gallstone ileus were treated at our institution. In 11 cases we performed in addition to the enterolithotomy, a cholecystectomy and a resection of the fistula as one-stage repair. Despite the high average age (74.3 years) and the presence of various other serious morbidity in our patient population, we only observed a hospital mortality of 7.1%. Serious postoperative complications, such as sepsis and/or shock were not observed. Utilizing today's advanced anesthesia and proper intensive-care therapy, as well as early operative intervention and safe surgical technique, we believe that enterolithotomy with cholecystectomy and fistula resection as one-stage operation, should primarily be considered before performing enterolithotomy alone.
authors.affiliation: Chirurgische Klinik und Poliklinik, Freien Universität Berlin, Universitätsklinikum Rudolf Virchow.
authors.forename: H
authors.initials: H
authors.lastname: Keck
authors.forename: J M
authors.initials: JM
authors.lastname: Langrehr
authors.forename: M
authors.initials: M
authors.lastname: Knoop
authors.forename: G
authors.initials: G
authors.lastname: Blumhardt
authors.forename: D
authors.initials: D
authors.lastname: Pappert
authors.forename: P
authors.initials: P
authors.lastname: Neuhaus
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate
vernacular_title: Erfahrungen mit der gleichzeitigen Sanierung der Gallenwege bei der operativen Therapie des Gallensteinileus.