Argov S, Schneider H
Am Surg. 1984 Oct;50(10):530-3.
The accuracy of the clinical indications for common bile duct exploration was studied in a group of 495 patients. The patients were divided into two groups: operative cholangiography was performed in 5 per cent of cases in Group A and 62 per cent of cases in Group B. The results demonstrate the high efficiency of this procedure, its safety, accuracy (82%), and its effectiveness in the discovery of unexpected stones and in shortening of hospitalization. Analysis of the results point out the indications for intraoperative cholangiography: It should be carried out in all biliary tract operations, except for those in which other clinical indications for exploration already exist (palpable stones in the common bile duct or the combination of dilated common bile duct either with jaundice at the time of operation or with history of severe jaundice in the past). Under all other circumstances an operative cholangiogram should be performed.
对495例患者进行了胆总管探查临床指征准确性的研究。患者分为两组：A组5%的病例和B组62%的病例进行了术中胆管造影。结果表明该手术效率高、安全、准确（82%），在发现意外结石和缩短住院时间方面有效。结果分析指出了术中胆管造影的指征：除已存在其他探查临床指征（胆总管可触及结石或术中胆总管扩张合并黄疸或既往有严重黄疸病史）的手术外，所有胆道手术均应进行。在所有其他情况下，均应进行术中胆管造影。
