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肝内胆囊合并胆总管术后结石。内镜括约肌切开术的价值(作者译)

[Intra-hepatic gall bladder complicated by post-operative stones in the common bile duct. The value of endoscopic sphincterotomy (author's transl)].

作者信息

Leger L, Liguory C, Soprani A, Kanoui F

出版信息

Nouv Presse Med. 1978 Jun 10;7(23):2049-51.

PMID:673772
Abstract

Two cases of migration of stones in the common bile duct following operation of cholecystitis secondary to cholelithiasis in an intra-hepatic gall bladder are reported. The authors emphasise the difficulties of the operation. When it was necessary to limit surgery to external drainage, migration of stones to the common duct from the gall bladder left in place is possible. In the two cases presented, endoscopic sphincterotomy resulted in the early expulsion of the calculi and permanent drainage of the common bile duct, a presumptive guarantee against the complications of new migrations.

摘要

报告了两例肝内胆囊结石继发胆囊炎手术后胆总管结石迁移的病例。作者强调了手术的困难之处。当有必要将手术限制为外引流时,留在原位的胆囊结石有可能迁移至胆总管。在所呈现的两例病例中,内镜下括约肌切开术导致结石早期排出以及胆总管的永久性引流,这被认为是防止新的结石迁移并发症的一种保障。

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