Lennert K A
Chirurg. 1984 Jul;55(7):461-3.
One indication for cholangioscopy is a doubtful intraoperative cholangiogram. Cholangioscopy is usually performed by a choledochotomy, occasionally it can be done via the cystic duct stump. Primary closure of the choledochotomy using a forward and backward suture is possible. In cases of severe cholangitis T-tube external drainage of the bile is performed. The method and experience of 208 endoscopic examinations is reported, 71 via the cystic duct stump and 137 via a choledochotomy.
胆管镜检查的一个适应证是术中胆管造影结果存疑。胆管镜检查通常通过胆总管切开术进行,偶尔也可经胆囊管残端完成。胆总管切开术可采用前后缝合进行一期缝合。对于严重胆管炎病例,需行胆汁T管外引流。本文报告了208例内镜检查的方法和经验,其中71例经胆囊管残端进行,137例经胆总管切开术进行。