Salembier Y
Nouv Presse Med. 1977 Oct 8;6(33):2977-8, 2983-4.
It is necessary to clearly characterize: -- The short choledochus which, in fact, is a long cystic duct joining the ampulla of Vater (4 obs.). -- The choledochus with a high implantation, above the end part of the duodenum (4 obs.). -- The choledochus shortened by the retraction of the duodenum, more often than not induced by a distant duodenal ulcer (1 obs.). The long cystic must be removed if possible. The high implanted choledochus, when associated with a duodenal ulcer leads to etiological (-- mutual action of the two diseases --) and practical problems: it seems preferable, in this case, to leave the ulcer and cure it by an indirect operation.
——短胆总管，实际上是一条连接 Vater 壶腹的长胆囊管（4 例观察）。——高位开口的胆总管，位于十二指肠末端上方（4 例观察）。——因十二指肠回缩而缩短的胆总管，多由远处十二指肠溃疡引起（1 例观察）。如有可能，应切除长胆囊管。高位开口的胆总管在合并十二指肠溃疡时会引发病因学（——两种疾病的相互作用——）及实际问题：在这种情况下，似乎最好保留溃疡并通过间接手术进行治疗。
