Ivanov Dejan, Milosević Pavle
Klinika za abdominalnu, endokrinu i transplantacionu hirurgiju, Klinicki centar Vojvodine, Novi Sad.
Med Pregl. 2010 Jan-Feb;63(1-2):99-103. doi: 10.2298/mpns1002099i.
Surgical institutions equipped to apply endoscopic retrograde cholangiopancreatography with papillotomy do not treat non-complicated choledocholithiasis in a surgical way any more. However, those institutions which have not yet started to perform cholangiopancreatography apply surgical treatment of choledocholithiasis, and therefore, choledochography is still an option to end the exploration of choledochus with or without the concrement removal. Since cholangiopancreatography has not become a routine treatment in our institution, we have tried to determine the role of the primary closure of the choledochus in the treatment of choledocholithiasis as well as the indications and contraindications for its application.
具备开展内镜逆行胰胆管造影术及乳头切开术条件的外科机构不再采用手术方式治疗非复杂性胆总管结石。然而，那些尚未开展胰胆管造影术的机构仍采用手术治疗胆总管结石，因此，胆管造影术仍是一种选择，无论是否取出结石，均可结束胆总管探查。由于胰胆管造影术在我们机构尚未成为常规治疗方法，我们试图确定胆总管一期缝合在胆总管结石治疗中的作用及其应用的适应证和禁忌证。
