Harikrishnan K M, Selvaraj S, Rajgopal G
Classified Specialist (Surgery) and Surgical Gastroenterologist Command Hospital (SC) Pune 411040.
Senior Adviser (Surgery), Command Hospital (EC) Calcutta - 700027.
Med J Armed Forces India. 1997 Apr;53(2):116-118. doi: 10.1016/S0377-1237(17)30679-2. Epub 2017 Jun 26.
Flexible choledochoscope was used in 16 patients undergoing common bile duct (CBD) exploration for suspected stones. Stones were found in the CBD in 4 patients in whom introperative cholangiogram was normal. T-tube cholangiogram done between the 10th and 14th postoperative days was normal in all 16 patients. None of the patients had symptoms suggestive of retained stones during follow-up ranging from 6 to 19 months. We feel that the use of choledochoscopy in patients undergoing CBD exploration will help reduce the incidence of retained stones.
对16例疑似胆总管结石而行胆总管探查术的患者使用了可弯曲式胆管镜。4例患者在术中胆管造影正常的情况下,胆总管内发现结石。所有16例患者术后第10至14天行T管胆管造影均正常。在6至19个月的随访期内,所有患者均无提示结石残留的症状。我们认为,在胆总管探查术中使用胆管镜有助于降低结石残留的发生率。