폐쇄성 황달에 관한 임상적 고찰 = Clinical Review on Surgical Jaundiced Patients

다국어 초록 (Multilingual Abstract)

During the period of 3 years and 7 months from April, 1976 to October, 1979, 60 cases of surgical jaundice were treated at department of general surgery in Chungnam National University Hospital. These surgical jaundiced patients had frequently more serious symptoms and more higher mortality in compared with patients without jaundice following surgical procedures. The 60 cases of obstructive jaundiced patients were analysed to clarify the cause of high mortality and the results were summerized as follows.
1. The overall incidence was 3.4%. The most predominant incidence of 60 surgical jaundiced patients were 28 cases of common bile duct stone, 46.7%, next common disease of them were 10 cases of acute cholecystits including of G. B. empyema, 16.7%, third common disease of them were 6 cases of perforated G. B. empyema, 10%. There are 52 cases)36.7%) of benign disease and 8 cases (13.3%) of malignant disease in 60 cases of patients.
2. The predominant age group was from 31 year old to 60 year old and the age distribution showed number of these patients was 46 cases, 76.6%, and the age distribution showed 13 year old to 74 year old.
3. The ratio of male and female was 2.3 : 1.
4. The most common operative procedures were cholecystectomy with T-tube drainage and their numbers were 37 cases, 61.7%, next common groups were 11 cases(18.3%) of choledochoenterostomy.
5. The overall postoperative complications in this series was 19 cases, 31.7%. The most common complication was 10 cases of wound infection(16.7%).
6. The overall mprtality was 10%(6/60 cases). The major causes were sepsis and hepatie failure.