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KMID : 0378019680110110091
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New Medical Journal
1968 Volume.11 No. 11 p.91 ~ p.96
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Clinical Observations of Obstructive Jaundice
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Hwang Sung-Yung
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Abstract
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In this study an analysis was made. of the surgical management´of 140 patients with extrabepatic obstructive jaundice during the 7 year period between July 1959 and June 1960 at the Department´ of General Surgery, Pusan´ National University Hospital.
The cause of the jaundice was a, benign lesion in 100(71.4%Mpatients and in remaining 40(28.6%)patients, cancer, either primary-or metastatic, was. the causative factor.
A stone (or stones) in the commonduct was the most common cause of obstructive or surgical jaundice. There were 66 men and 74´ women, the sex ratio being: 1 12 = 1(F:M):
The ages ranged from 40days to 70 years and 74.2 of the 140. patients or approximately three of every four patients;, were between the ages of 30 and 60 years.
Eighty eight percent of the patients with benign lesions and 57.5% of the patients with malignant lesions complained colic pain.
The ratio of direct bilirubin/total bilirubinx 100 was above 40% in all patients and C.C.F. was positive _in 60% of the 140 cases.
Various Operative procedure were performed in the cases; Cholecystectomy in 83, Choledochostomy in 70, by-pass procedure in 35 and whipple,s operation in 4
Early post-operative complications occurred in. 10.7% and the operative mortality rate was 9.3%.
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