Berci G, Hamlin J A
Surg Gynecol Obstet. 1981 Aug;153(2):237-40.
Use of the flexible fiberoptic choledochoscope has been suggested as an alternate to the steerable catheter method for extracting retained biliary calculi through the T-tube tract. We found disadvantages to the use of this scope and describe the use of the smaller, more flexible fiberoptic bronchoscope which has facilitated the procedure. The ability to view the calculus through the endoscope while manipulating the stone basket obviates the necessity for fluoroscopic monitoring during this phase and, therefore, results in a significant reduction of radiation exposure to all concerned. In addition, an over-all reduction in procedure time has been achieved by this method.
有人建议使用可弯曲纤维胆道镜作为通过T管窦道取出残留胆结石的可操纵导管法的替代方法。我们发现使用这种内镜存在缺点，并描述了使用更小、更灵活的纤维支气管镜，它使该操作变得更容易。在内镜下观察结石同时操作结石篮的能力消除了在此阶段进行荧光透视监测的必要性，因此，显著减少了所有相关人员的辐射暴露。此外，通过这种方法实现了手术时间的总体缩短。
