Collier N A, Carr D, Hemingway A, Blumgart L H
Surg Gynecol Obstet. 1984 Nov;159(5):465-70.
In 19 patients with carcinoma of the gallbladder treated over a four year period, several features of percutaneous transhepatic cholangiography have been recognized which have increasingly provided an accurate diagnosis preoperatively. These features are due to intrahepatic invasion of the bile duct and by providing a diagnosis preoperatively can have a large bearing on the choice of therapy for a particular patient. The relative roles of surgical bypass and endoscopically or percutaneously placed prostheses are discussed.
在四年期间接受治疗的19例胆囊癌患者中，经皮肝穿刺胆管造影术的几个特征已被识别出来，这些特征越来越有助于术前准确诊断。这些特征是由于肝内胆管受侵所致，术前作出诊断对特定患者的治疗选择有很大影响。文中讨论了手术旁路以及内镜或经皮放置假体的相对作用。
