Sommariva S, Cannici F, Fiorone E, Scotti M, Castrati G
Divisione di Chirurgia Generale, Ospedale Evangelico Internazionale, Genova.
Minerva Chir. 1991 May 31;46(10):539-43.
The paper describes the Authors' personal experience in the diagnosis and treatment of extrahepatic biliary lithiasis in 166 patients admitted to the Surgical Division of the International Evangelical Hospital. The basic tests for a correct diagnostic strategy are echotomography and ERCP in cases of jaundice and/or dilatation of the biliary tract with negative echographic results for lithiasis of the choledochus. The indications for surgery are also discussed and the new possibilities of pre- and post-operative PSTE are also taken into account.
本文描述了作者在国际福音医院外科对166例肝外胆管结石患者进行诊断和治疗的个人经验。正确诊断策略的基本检查是超声断层扫描和在黄疸和/或胆道扩张且胆总管结石超声检查结果为阴性的情况下进行内镜逆行胰胆管造影(ERCP)。文中还讨论了手术指征,并考虑了术前和术后经皮经肝胆道引流(PSTE)的新可能性。