閉塞性黄疸

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タイトル別名
  • OBSTRUCTIVE JAUNDICE
  • ヘイソクセイ オウダン ジケンレイ ノ ケントウ ト シュジュツクリカエシシキ
  • —AN ANALYSIS OF 37 CONSECUTIVE CASES AND SOME SURGICAL PROCEDURES IN ITS TREATMENT—
  • ―自験例の検討と手術々式の二、三の問題点について―

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説明

During the five year period between Jan., 1968 and March, 1974, 37 patients with obstructive jaundice were operated upon at the Okura National Hospital.<br>As the cause of jaundice 20 (54%) patients was benign and 17 (46%) patients had malignant lesion.<br>Common duct stone was a most common cause of benign obstructive jaundice and numbered 19 (95%). In malignant lesion, cancer of the head of pancreas was a most common cause and numbered 12 (70%).<br>In benign lesion, 9 patients underwent choledocho-duodenostomy, 5 patients transduodenal-sphincteroplasty, 5 patients choledochostomy and 1 patient other procedure.<br>In malignant lesion, 4 (23.5%) patients treated by resection and remaining 13 patients had an intestinal biliary by-pass procedure in which 4 patients treated with cholecysto-enterostomy, 4 patients with choledocho-enterostomy, 2 patients with Longmire's operation and 3 patients with other procedure.<br>The overall operative mortality was 24.3%, and in benign lesion 1 (5%) patient died and in malignant lesion 8 (47%) patients died postoperatively.<br>The striking finding is the high mortality (75%) after cholecysto-enterostomy.<br>A comparative study of choledocho-duodenostomy and transduodenal spbincteroplaty was carried out.<br>Choledocho-intestinal anastomosis is the preferred operation for palliative biliary-intestinal decom-pression because the high mortality rate was resulted if cholecysto-intestinal anastomosis was performed.

収録刊行物

  • 医療

    医療 28 (12), 1045-1050, 1974

    一般社団法人 国立医療学会

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