Cade R, Collopy B, Ryan P
Aust N Z J Surg. 1980 Oct;50(5):481-3. doi: 10.1111/j.1445-2197.1980.tb04174.x.
An assessment was made both the reliability of routine operative cholangiography and of the incidence of unsuspected common duct stones identified by this technique. It is suggested that its disadvantages, in particular the incidence of unnecessary bile duct explorations consequent upon false-positive cholangiograms, make routine operative cholangiography undesirable. If any suspicion of common duct stone exists by virtue of clinical, biochemical or operative findings, an operative cholangiogram should be performed. Following adoption of this policy our findings suggest that the incidence of undetected stone will be negligible.
对常规手术胆管造影的可靠性以及通过该技术发现的意外胆总管结石的发生率进行了评估。有人认为，它的缺点，特别是胆管造影假阳性导致的不必要胆管探查的发生率，使得常规手术胆管造影不可取。如果根据临床、生化或手术结果怀疑有胆总管结石，应进行手术胆管造影。采用这一策略后，我们的研究结果表明未检测到结石的发生率将可以忽略不计。
