Popa G, Medianu D
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Jan-Feb;25(1):51-6.
Out of 305 cases, diagnosed and operated in the clinic over a period of 14 years, the authors have investigated in 164 of them--controlled between 2 and 14 years after surgery--the residual dilatation of the hepatic segment of the choledocus following the application of the major methods of surgical treatment of benign stenoses of the terminal choledocus duct. In view of reducing the disturbances that might occur after surgery of the biliary pathways, the material was investigated and, in the light of the data from the literature, the conditions are discussed, in which the residual hepato-choledocal dilatation should be considered as pathological, the methods of investigation, the difference between the duodeno-biliary reflux and the jejuno-biliary reflux, the anatomo-pathophysiological basis of a more complete and differentiated surgical therapy, the precautions necessary for avoiding remaining intra-hepatic abscesses that might complicate the postoperative evolution.
在14年期间于该诊所诊断并接受手术的305例病例中，作者对其中164例进行了调查——这些病例在术后2至14年接受了对照——观察了在应用胆总管末端良性狭窄的主要外科治疗方法后胆总管肝段的残余扩张情况。为了减少胆道手术后可能出现的干扰，对该材料进行了研究，并根据文献数据讨论了以下情况：残余肝内胆管扩张应被视为病理性的情况、调查方法、十二指肠-胆管反流与空肠-胆管反流之间的差异、更完善和有针对性的手术治疗的解剖病理生理基础、避免可能使术后病程复杂化的肝内残余脓肿所需的预防措施。
