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KMID : 0365819770170020211
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Journal of Pusan Medical College
1977 Volume.17 No. 2 p.211 ~ p.221
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A Clinical Study on the Cholelithiasis
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Abstract
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The clinical evaluation was performed on the 285 cases including cholelithiasis in 224 cases and reoperation in 61 cw%es, which were treated surgically at Busan National University Hospital for 7-years and 8 months, from Jan. 1970 to Aug. 1977.
Reoperated cases contained 2nd operation in 53 cases, and 3rd operation in 8 cases. The results were as follows:
1. In distribution of age and sex, the highest incidence fell in the 5th decade, and male to female ratio was about 1:1.6 among 224 patients with cholelithiasis.
2. The prominent symptoms were pain (97.3%) in 224 cases with cholelithiasis, and jaundice (86.9%) and pain (90.2%) in 61 cases at reoperation..
3. The incidence of residual calculi was 84% on T-tube cholangiography in 143 cases after first operation.
4. The most frequent site of calculi were common bile duct (39.7%) in 224 cases with cholelithiasis, and intrahepatic duct (42.3%) in 61 cases at reoperation.
5. The prominent operation type were 136 cases (60.7%) of cholecystectomy with choledochotomy at first operation, and 21 cases (34. 1%) of choledochoduodenostomy at reoperation.
6. The wound infection was the most common among the postoperative complications (19.3%), and the postoperative mortality rate was 3.5%.
7. The most common causes of reoperation was intrahepatic calculi (39.3%) in 61 cases.
8. The reoperation rate was 22.0% in 277 cases which had received biliary operation for cholelithiasis but the rate was 6.8% in 44 cases which had received the transduodenal sphinteroplasty for cholelit hiasis.
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