Pagana T J, Stahlgren L H
Arch Surg. 1980 Oct;115(10):1214-5. doi: 10.1001/archsurg.1980.01380100060014.
We have demonstrated that operative cholangiography can be done accurately, rapidly, and without any increase in morbidity. We recommend that operative cholangiography be performed routinely on all patients undergoing cholecystectomy for these reasons: (1) It permits accurate demonstration of the presence or absence of intraductal calculi, thereby decreasing the number of unnecessary duct explorations. (2) It permits demonstration of the number and size of common duct stones, when their presence is highly suspected. (3) It permits recognition of a small but substantial number of patients with unsuspected common duct stones. (4) It permits demonstration of operative ductal anatomy, thereby reducing the chance of inadvertent iatrogenic injury. (5)It permits recognition of unsuspected biliary or periampullary tumors. (6) It is an accurate method and facilitates the performance and accurate interpretation of postoperative T-tube cholangiography.
我们已经证明，术中胆管造影能够准确、快速地完成，且不会增加任何发病率。基于以下原因，我们建议对所有接受胆囊切除术的患者常规进行术中胆管造影：（1）它能准确显示胆管内结石的存在与否，从而减少不必要的胆管探查次数。（2）当高度怀疑存在胆总管结石时，它能显示胆总管结石的数量和大小。（3）它能识别出一小部分但数量可观的患有未被怀疑的胆总管结石的患者。（4）它能显示手术时的胆管解剖结构，从而减少无意中医源性损伤的几率。（5）它能识别未被怀疑的胆管或壶腹周围肿瘤。（6）它是一种准确的方法，有助于术后T管胆管造影的操作及准确解读。
