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  • Title: [Operative risk in cholelithiasis. 5 433 surgical interventions (author's transl)].
    Author: Chigot JP.
    Journal: Sem Hop; ; 57(29-32):1311-9. PubMed ID: 6269207.
    Abstract:
    Mortality and morbidity of surgical treatment of gallstones are analysed through a series of 5 433 operations : 3 885 for chronic cholecystitis; 844 for choledocholithiasis, 564 for acute cholecystitis, 96 for odditis, 31 for internal fistula, 13 for gallstone ileus. The overall mortality rate is 1,53%, the morbidity rate 8,32 % but significant differences are found related to sex, age, stage of disease and operating procedure: for example cholecystectomy for chronic cholecystitis in patients beyond 60 years has a mortality rate of 0,2%; in choledocholithiasis, after 70 years the mortality rate is 9,8% . Analysis of deaths and complications shows that mortality and morbidity can be reduced by a better selection of cases and various preventive measures.
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