[Obstructive jaundice caused by residual and/or recurrent choledochal lithiasis: endoscopic and surgical treatment]. Fornaro R, Carissimi T, Belcastro E, Cambiaso C, Estienne G, Boidi M, Taviani M, Ferraris R. Cattedra di Semeiotica Chirurgica R, Università degli Studi di Genova. Results of surgical and endoscopic treatment in 79 patients (58 females and 21 males, age 40-89, mean 62), affected with jaundice, due to secondary choledochal lithiasis, are reported. Thirty-four patients (43%) underwent surgical operation: choledochotomy and T-tube 12, choledocho-jejunostomy 4, choledochoduodenostomy 3, papillosphincteroplasty 15. In 45 patients (57%) EST has been performed. Comparison of results has been obtained after 30 days and after 3-105 months (mean 49). Optimal results have been achieved in 94.9% of patients: 100% after surgery and 94.1% after EST. Morbidity and mortality outcomes in patients who underwent EST (11.1% and 0% after 30 days respectively, 8.1% and 8.1% after several months) are better compared to those ones after surgical treatment (17.6% and 5.8% after 30 days, 20% and 16% after several months). We conclude that EST is nowadays the therapy of choice in patients with jaundice due to choledochal lithiasis, either relapsing or residual.

Ittero ostruttivo da litiasi residua e/o recidiva del coledoco. Trattamento endoscopico e chirurgico.

FORNARO, ROSARIO;TAVIANI, MARIO;
1993-01-01

Abstract

[Obstructive jaundice caused by residual and/or recurrent choledochal lithiasis: endoscopic and surgical treatment]. Fornaro R, Carissimi T, Belcastro E, Cambiaso C, Estienne G, Boidi M, Taviani M, Ferraris R. Cattedra di Semeiotica Chirurgica R, Università degli Studi di Genova. Results of surgical and endoscopic treatment in 79 patients (58 females and 21 males, age 40-89, mean 62), affected with jaundice, due to secondary choledochal lithiasis, are reported. Thirty-four patients (43%) underwent surgical operation: choledochotomy and T-tube 12, choledocho-jejunostomy 4, choledochoduodenostomy 3, papillosphincteroplasty 15. In 45 patients (57%) EST has been performed. Comparison of results has been obtained after 30 days and after 3-105 months (mean 49). Optimal results have been achieved in 94.9% of patients: 100% after surgery and 94.1% after EST. Morbidity and mortality outcomes in patients who underwent EST (11.1% and 0% after 30 days respectively, 8.1% and 8.1% after several months) are better compared to those ones after surgical treatment (17.6% and 5.8% after 30 days, 20% and 16% after several months). We conclude that EST is nowadays the therapy of choice in patients with jaundice due to choledochal lithiasis, either relapsing or residual.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11567/193322
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