Nottle P D, Hughes E S, McDermott F T
Aust N Z J Surg. 1982 Oct;52(5):484-7. doi: 10.1111/j.1445-2197.1982.tb06034.x.
A series of 1575 consecutive patients with cholelithiasis managed by cholecystectomy without operative cholangiography is presented. All operations were performed by one of our authors. Exploration of the bile ducts was performed in 185 (12%) patients. During the postoperative period there was evidence of retained calculi in three (1.6%) of the 185 patients. The incidence of remote calculi (those presenting at a time distant from cholecystectomy) was determined for patients undergoing cholecystectomy between 1963 and 1967. Follow up information was available on 258 (80%) of 321 patients. Clinical evidence of remote calculi was found in seven (2.7%) patients. The incidence of both retained and remote calculi was similar to that found in series where operative cholangiography was routine.
本文报告了1575例连续接受胆囊切除术且未进行术中胆管造影的胆石症患者。所有手术均由本文作者之一完成。185例（12%）患者进行了胆管探查。术后，185例患者中有3例（1.6%）有残留结石的证据。确定了1963年至1967年间接受胆囊切除术患者的远期结石（在胆囊切除术后一段时间出现的结石）发生率。321例患者中有258例（80%）获得了随访信息。7例（2.7%）患者有远期结石的临床证据。残留结石和远期结石的发生率与常规进行术中胆管造影的系列研究中发现的发生率相似。
