{"title":"胆囊切除术治疗无症状胆结石。手术干预的适应症、机会和论据]。","authors":"A Popovici","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Asymptomatic biliary lithiasis (discovered accidentally by paraclinical methods or intraoperatively) is, despite its hidden character, a state of disease. Asymptomatic lithiasis--having a frequency of 1.3%-7.5%--requires the use of several therapeutical measures. In this way some severe complications at the onset or at the turning of disease into a clinically manifest suffering, especially after the age of 60-70 years, or concomitantly with other affections, might be avoided. The conservatory therapeutical means have limited indications, or results dependent on several parameters, and some methods require a special equipment. The author pleads for cholecystectomy, which, if no complication appears, offers a radical solution with minimum morbidity and unsignificant postsurgical mortality indices.</p>","PeriodicalId":76447,"journal":{"name":"Revista de medicina interna, neurologe, psihiatrie, neurochirurgie, dermato-venerologie. Medicina interna","volume":"41 5","pages":"391-400"},"PeriodicalIF":0.0000,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Cholecystectomy in asymptomatic gallstones. Indications, opportunities and arguments in favor of surgical intervention].\",\"authors\":\"A Popovici\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Asymptomatic biliary lithiasis (discovered accidentally by paraclinical methods or intraoperatively) is, despite its hidden character, a state of disease. Asymptomatic lithiasis--having a frequency of 1.3%-7.5%--requires the use of several therapeutical measures. In this way some severe complications at the onset or at the turning of disease into a clinically manifest suffering, especially after the age of 60-70 years, or concomitantly with other affections, might be avoided. The conservatory therapeutical means have limited indications, or results dependent on several parameters, and some methods require a special equipment. The author pleads for cholecystectomy, which, if no complication appears, offers a radical solution with minimum morbidity and unsignificant postsurgical mortality indices.</p>\",\"PeriodicalId\":76447,\"journal\":{\"name\":\"Revista de medicina interna, neurologe, psihiatrie, neurochirurgie, dermato-venerologie. Medicina interna\",\"volume\":\"41 5\",\"pages\":\"391-400\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1989-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista de medicina interna, neurologe, psihiatrie, neurochirurgie, dermato-venerologie. Medicina interna\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de medicina interna, neurologe, psihiatrie, neurochirurgie, dermato-venerologie. Medicina interna","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
[Cholecystectomy in asymptomatic gallstones. Indications, opportunities and arguments in favor of surgical intervention].
Asymptomatic biliary lithiasis (discovered accidentally by paraclinical methods or intraoperatively) is, despite its hidden character, a state of disease. Asymptomatic lithiasis--having a frequency of 1.3%-7.5%--requires the use of several therapeutical measures. In this way some severe complications at the onset or at the turning of disease into a clinically manifest suffering, especially after the age of 60-70 years, or concomitantly with other affections, might be avoided. The conservatory therapeutical means have limited indications, or results dependent on several parameters, and some methods require a special equipment. The author pleads for cholecystectomy, which, if no complication appears, offers a radical solution with minimum morbidity and unsignificant postsurgical mortality indices.