McAllister A J, Hicken N F
Am J Surg. 1976 Nov;132(5):567-71. doi: 10.1016/0002-9610(76)90343-3.
Fortunately, benign stricture is becoming a much less frequently encountered problem in biliary surgery. This must be largely explained by repetitious warnings in the literature and by teachers during the past thirty years. Our efforts now perhaps should be directed toward early recognition and treatment of ductal injuries before irreversible liver injury has occurred. Use of solutions to flush ducts and stents warrants further study, and the use of percutaneous replaceable stents along with biliary solvents in the hope that better prognosis of such fibroses ducts is justified. The true morbidity and mortality of biliary stricture cannot be accurately known unless a group of patients can be accurately followed throughout their entire lifetime when a final appraisal can be made.
幸运的是，在胆道手术中，良性狭窄已成为一种较少见的问题。这主要归因于过去三十年来文献及教师们反复给出的警示。我们现在或许应致力于在不可逆转的肝损伤发生之前，尽早识别并治疗胆管损伤。冲洗胆管的溶液及支架的使用值得进一步研究，使用经皮可更换支架以及胆汁溶解剂以期改善此类纤维化胆管的预后是合理的。除非能对一组患者进行终身准确跟踪，以便做出最终评估，否则无法准确知晓胆道狭窄的真实发病率和死亡率。
