閉塞性 黃疸에 關한 臨床的 考察 : 140例 分析 An Analysis of 140 Consecutive cases = Clinical Observations of Obstructive Jaundice

다국어 초록 (Multilingual Abstract)

In this study an analysis was made. of the surgical management'of 140 patients with extrabepatic obstructive jaundice during the 7 year period between July 1959 and June 1960 at the Department' of General Surgery, Pusan' National University Hospital.
The cause of the jaundice was a, benign lesion in 100(71.4%Mpatients and in remaining 40(28.6%)patients, cancer, either primary-or metastatic, was. the causative factor.
A stone (or stones) in the commonduct was the most common cause of obstructive or surgical jaundice. There were 66 men and 74' women, the sex ratio being: 1 12 = 1(F:M):
The ages ranged from 40days to 70 years and 74.2 of the 140. patients or approximately three of every four patients;, were between the ages of 30 and 60 years.
Eighty eight percent of the patients with benign lesions and 57.5% of the patients with malignant lesions complained colic pain.
The ratio of direct bilirubin/total bilirubinx 100 was above 40% in all patients and C.C.F. was positive _in 60% of the 140 cases.
Various Operative procedure were performed in the cases; Cholecystectomy in 83, Choledochostomy in 70, by-pass procedure in 35 and whipple,s operation in 4
Early post-operative complications occurred in. 10.7% and the operative mortality rate was 9.3%.