| Autor: |
Bloch, Robert S., Allaben, Robert D., Walt, Alexander J. |
| Zdroj: |
Archives of Surgery; June 1985, Vol. 120 Issue: 6 p669-672, 4p |
| Abstrakt: |
• Cholecystectomy or cholecystostomy was performed in 49 patients with cirrhosis with a mortality of 10.2%. Massive intraoperative blood loss was found in 16.3% and major wound problems (dehiscence, abscess) in 12.2%. Intraoperative blood loss, amount of blood transfused, and mortality were correlated with the Child classification of hepatic reserve. Mortality was 23.5% for Child C patients vs 0% for Child A patients. Excessive blood loss from a hypervascular biliary bed and resulting liver failure and sepsis were the usual causes of death. Elective surgical intervention for Child A and B patients with symptomatic cholelithiasis is warranted. In Child C patients, however, every attempt should be made to increase the class to a Child B.(Arch Surg 1985;120:669-672. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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