Prior C
Minerva Chir. 1979 Sep 30;34(18):1193-7.
Recent advances in the diagnosis and surgical management of cases involving the extrahepatic bile ducts are illustrated. Particular stress is laid on the universally recognised importance of preoperative cholangiography, the usefulness of the flexible choledochoscope, and the employment of cold light to visualise calculi undetected by cholangiography. The scope of and indications for direct surgery on the papilla, derivative operations, and reconstruction of the duct are discussed. Lastly, reference is made to the use of endoscopic sphincterotomy, and the suitability of continuous perfusion of the ducts in the destruction of calculi.
文中阐述了肝外胆管疾病诊断与外科治疗的最新进展。特别强调了术前胆管造影的普遍公认的重要性、可弯曲胆管镜的实用性以及利用冷光观察胆管造影未发现的结石。讨论了乳头直接手术、衍生手术及胆管重建的范围和适应证。最后，提及了内镜括约肌切开术的应用以及在结石破坏中胆管持续灌注的适用性。
