REES C E
Calif Med. 1950 May;72(5):363-4.
In a series of 197 patients with extrahepatic biliary disease, 65 who had symptoms that met certain established criteria were operated upon to explore the common bile duct for stones. Stones or debris were found in 34 cases. Certain phases of the procedure used are being reevaluated.Because of unsatisfactory results with immediate cholangiograms, they were made only in selected cases in which the anticipated advantages outweighed the known disadvantages. Delayed cholangiography (10 or 12 days postoperatively) is considered a "must," however, for determination of the presence of remaining stones. If residual stones are shown, they are removed as soon as possible.
在一组197例肝外胆道疾病患者中，65例有符合某些既定标准症状的患者接受了手术，以探查胆总管是否有结石。34例发现有结石或碎片。目前正在对所采用手术的某些阶段进行重新评估。由于即时胆管造影结果不理想，仅在预期益处超过已知弊端的特定病例中进行。然而，延迟胆管造影（术后10或12天）被认为是确定是否存在残留结石的“必需”检查。如果显示有残留结石，应尽快将其取出。
