간내 담석증 및 재발성 담석중에서의 Roux-en-Y식 담도공장 문합술의 임상적 고찰

다국어 초록 (Multilingual Abstract)

This study is a clinical observation and review of 21 cases of patients with newly formed gall stones, recurrent or residual stones and intrahepatic stones, preoperatively or postopera-tively, seen in Department of Surgery, presbyterlan Medical Center, Keimyung Unlversity, Medical School, Taegu, Korea from January 1976 to December 1981.
Total numbers of 21 cases were treated with Roux-en-Y Choledochojejunostomy(end-to end or side-to-end) and end-to-end hepaticojeojejunostomy.
And then, following results w~re obtained;
1) 14.2% of all gall stone patients were found to be intrahepatic stone and recurrent or residual stones.
2) The ratio of female was 1:1.3 in 21 cases.
3) The most common age groups were 6th decades(42.9%).
4) There was a history of cholecystectomy and choledochotomy In 66.7% of 21 cases.
5) The shortest interval from previous operation was 1 month and the longest was 10 yrs.
6) The most common symptom and signs was right upper quadrant pain(71. 4%).
7) The most reliable laboratory finding was increasing of alkaline phosphotase(85.7%).
8) postoperativly, there was 4 complicated cases with wound .infection ane One is expired due to hepatorenal syndrome on post-operation 7th day.

목차 (Table of Contents)

• Abstract 1
• 서론 1
• 관찰성적 2
• 촐괄 및 고안 4
• 결론 7
• REFERENCES 7