ACUTE SUPPURATIVE CHOLESYSTITIS: A RETROSPECTIVE STUDY OF 173 CASES
| Autor: | John Wong, S. T. K. Lim, K. H. Lam, G. B. Ong |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Perforation (oil well) Recurrent pyogenic cholangitis Cholelithiasis Cholecystitis Humans Medicine Acute suppurative cholecystitis Aged Retrospective Studies Suppuration business.industry General surgery Incidence (epidemiology) Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Biliary tract Surgical Procedures Operative Cholecystostomy Acute Disease Female Cholecystectomy business |
| Zdroj: | ANZ Journal of Surgery. 49:23-28 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.1979.tb06431.x |
| Popis: | Over a 14-year period we treated 2,290 cases of non-malignant biliary tract conditions, and among them were 173 cases of acute suppurative cholecystitis, an incidence of 7.6%. A correct preoperative diagnosis of acute suppurative cholecystitis was made in only about half the cases because features of recurrent pyogenic cholangitis dominated the clinical picture on many occasions. The diagnosis was confirmed in all cases at operation. Cholecystectomy (88%) was performed whenever this was found to be safe, and cholecystostomy (12%) was carried out only in poor-risk patients or when operative difficulties were encountered. The overall mortality of operation was 5.8%. Old age, preoperative shock, delay of operation and the presence of free perforation affected the prognosis adversely. |
| Databáze: | OpenAIRE |
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