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常规手术胆管造影的替代方法。

An alternative to routine operative cholangiography.

作者信息

Day S W, Wagner C L, Kranz J M

出版信息

Am Surg. 1975 Sep;41(9):543-5.

PMID:1166970
Abstract

The use of the Fogarty biliary balloon catheter has added to the safety of common duct exploration. Review of our own series seems to support this concept. With this adjunct adn a careful anatomic dissection of the biliary system, one can decide to do cholangiography or common duct exploration based on carefully considered clinical factors when stones are suspected. Perhaps neither need to be done in many instances. Without trying to question the virtures of operative cholangiography, we believe that it can be used selectively rather than routinely.

摘要

使用福格蒂胆管球囊导管增加了胆总管探查的安全性。回顾我们自己的病例系列似乎支持这一观点。借助这一辅助工具并对胆道系统进行仔细的解剖分离,当怀疑有结石时,根据经过仔细考虑的临床因素,人们可以决定是否进行胆管造影或胆总管探查。在许多情况下,可能两者都无需进行。我们无意质疑术中胆管造影的优点,但我们认为它可以选择性地而非常规地使用。

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