Stojanović Dragos, Stojanović Mirjana, Caparević Zorica, Lalosević Dorde, Bojković Gradimir, Milojević Predrag
Klinika za opstu hirurgiju, KBC Dr Dragisa Misović-Dedinje, 11000 Beograd, Heroja Milana Tepića 1.
Med Pregl. 2003 Mar-Apr;56(3-4):178-82. doi: 10.2298/mpns0304178s.
Standard diagnostic procedures (anamnesis, physical examination, laboratory analyses, ultrasound diagnosis), commonly used in diagnosis and preparation for surgical intervention of patients with cholelithiasis, are in most cases a reliable indicator for evaluation of the disease and conditions planned for surgery.
In some cases by application of these narrow diagnostic models, some conditions, anatomic variations and biliary tract malformations remain unrecognized. Asymptomatic ("silent") choledocholithiasis (2.02%) represents a special diagnostic and therapeutic problem.
Our extended diagnostic protocol includes routine intravenous cholangio-cholecystography as a standard diagnostic procedure for evaluation of cholecysto-choledocholithiasis prior planning cholecystectomy.
标准诊断程序（病史采集、体格检查、实验室分析、超声诊断）常用于胆结石患者的诊断及手术干预准备，在大多数情况下是评估疾病及手术计划状况的可靠指标。
在某些情况下，通过应用这些狭义的诊断模式，一些病症、解剖变异和胆道畸形仍未被识别。无症状（“隐匿性”）胆总管结石（2.02%）是一个特殊的诊断和治疗问题。
我们扩展后的诊断方案包括常规静脉胆管胆囊造影，作为在计划行胆囊切除术之前评估胆囊胆总管结石的标准诊断程序。
