Two hundred twenty six surgical jaundice patients who received surgical intervention were evaluated during the past five years, from January 1978, to December 1982.
1) 178 cases (78.8%) were benign diseases, 48 cases (21.2%) were malignant diseases. In the benign diseases, 138 cases (77.5%) were accompanied by biliary stone.
2) The sex ratio of male to female was 1.3: 1, in the benign diseases, 1. 0:1, in the mal-ignant diseases 3:1.
3) There was no difference of seasonal incidence, but it increased in the spring and fall.
4) The commonest prevalent age groups were in the 51~60 decade: 83 cases (36.7%).
5) The commonest clinical symptom was right upper quadrant abdominal pain (75.8%) in benign disease, indigestion (58.3%) in malignant disease. The commonest physical sign was right upper quadrant abdominal tenderness (76.4%) in benign disease, hepatomegaly, (64.6%) in malignant disease.
6) In almost all the cases, the direct bilirubin were markedly increased. Alkaline phospha-tase and serum bilirubin were more increased in malignant disease than in benign disease.
7) Cholecystectomy +T-tube choledochostomy, choledochoduodenostomy, transduodenal sphi-ncteroplasty and choledochojejunostomy were performed in almost all the benign disease (93. 3%), and by-pass procedures were performed in malignant disease.
8) E-Coli, Klebsiella, Proteus, Streptococcus and Enterobacter were cultured from biliary surgery in order of frequency.
9) Most common complication after surgery was main wound infection (34%) in benign disease, pulmonary complication (33.3%) in malignant disease.
10) The remnant and recurrent stone (52.8%), tumors obstructing the common bile duct (13%), stenosis of Ampulla of Vater (13%), and ascaris in the common bile duct (7.6%) were causes for reoperation.
11) The mortality rate was 8.4% of the total cases, 6.1% in the benign groups, and 16.7% in the malignant groups.
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