Nagase M, Setoyama M, Hikasa Y
Gastroenterol Jpn. 1978;13(4):290-6. doi: 10.1007/BF02774052.
A series of 1,358 cholelithic patients operated on at 32 affiliated hospitals during the last year and 492 patients operated on at authors' hospital during the last 21 years were reviewed with special reference to the cases of recurrent common duct stones. Of the former series 15 patients and of the latter series 12 patients respectively were reoperated on for recurrent, but not for residual, common duct stones, and all of them had in the markedly dilated common duct bilirubin stones showing characteristics of stasis stone-primary in common duct. Two representative cases are presented briefly. Congenital hypotonia of the common duct and inflammatory choledochitis are condemned and bilioenterostomy is recommended for preventing stone recurrences.
回顾了去年在32家附属医院接受手术的1358例胆石症患者以及过去21年在作者所在医院接受手术的492例患者，特别关注复发性胆总管结石病例。在前一组病例中，有15例因复发性而非残留性胆总管结石接受了再次手术，后一组病例中有12例同样如此，并且他们所有人的胆总管均明显扩张，存在胆红素结石，显示出滞留性结石的特征——原发性胆总管结石。简要介绍了两个典型病例。谴责先天性胆总管张力减退和炎性胆管炎，并建议行胆肠吻合术以预防结石复发。
