Köle W, Müller V
Zentralbl Chir. 1979;104(9):551-6.
When persistent or recurrent pain appears following a cholecystectomy, precise clarification is required (ERCP). A long stump of the cystic duct should be cited as one of numerous different causes. If reoperation is indicated, the stump must be searched for radiomanometry should be implemented in order to ascertain possible choledochus stones or a stenosis of the papilla and redress these in the course of the same operation. The existing stump must be resected in any case. Among 5020 operations for benign diseases of the bile duct (1961 to 1977) 88 cystic duct stump resections were performed without fatalities. With the exception of 2 cases the operation remedied the patients' complaints.
胆囊切除术后若出现持续性或复发性疼痛,需要进行精确的诊断(内镜逆行胰胆管造影术)。胆囊管残端过长应被视为众多不同病因之一。若需再次手术,必须找到残端,应实施放射性测压法以确定是否存在胆总管结石或乳头狭窄,并在同一次手术过程中予以纠正。无论如何都必须切除现有的残端。在5020例胆管良性疾病手术(1961年至1977年)中,进行了88例胆囊管残端切除术,无一例死亡。除2例外,手术缓解了患者的症状。