Goco I R, Young J S
Department of General Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC 27103.
South Med J. 1990 Sep;83(9):1033-5. doi: 10.1097/00007611-199009000-00013.
Most common duct stones are located below the junction of the cystic duct and the common bile duct. We describe a technique of trans-cystic-duct manipulation of stones through the ampulla of Vater and into the duodenum which we have termed common duct stone push-through (CDSPT). A balloon catheter is inflated above the stone and pushed into the duodenum several times. Successful manipulation of the stone into the duodenum is confirmed by repeat cholangiography. Stones were successfully manipulated by CDSPT in seven patients over a brief period starting June 1988.
大多数常见的胆管结石位于胆囊管与胆总管交界处以下。我们描述了一种通过Vater壶腹将结石经胆囊管操作并送入十二指肠的技术,我们将其称为胆总管结石推通术(CDSPT)。将球囊导管在结石上方充盈并多次推入十二指肠。通过重复胆管造影确认结石成功送入十二指肠。从1988年6月开始的短时间内,7例患者通过CDSPT成功操作了结石。