Nishimura A, Otsu H, Hiura T
Endoscopy. 1980 Jan;12(1):23-9. doi: 10.1055/s-2007-1021705.
Forceps biopsy of the distal part of the common bile duct was performed in 27 patients with cholelithiasis, under choledochoscopic guidance during surgery. Significant choledochitis was diagnosed in 72 per cent of the patients, including two with carcinoma of the head of the pancreas. Two patients with carcinoma of the head of the pancreas underwent biopsy in an attempt to obtain evidence of neoplasm. Furthermore, one patient suspected of carcinoma of the left hepatic duct tributaries received the same treatment and the malignancy was confirmed. No complications occurred. The prime indication for biopsy is to prove the presence of malignancy at this region and to provide an index for the management of cholangitis combined with choledocholitiasis.
在27例胆石症患者的手术过程中，于胆总管镜引导下对胆总管远端进行了钳取活检。72%的患者被诊断为显著胆管炎，其中包括2例胰头癌患者。2例胰头癌患者接受了活检，试图获取肿瘤证据。此外，1例疑似左肝管分支癌的患者接受了同样的治疗，恶性肿瘤得到确诊。未发生并发症。活检的主要指征是证实该区域存在恶性肿瘤，并为胆管炎合并胆总管结石的治疗提供依据。
