Pernthaler H, Holzberger P, Sandbichler P, Schmid T, Steurer W
1. Univ. Klinik für Chirurgie, Innsbruck.
Leber Magen Darm. 1993 May;23(3):123-4.
Operative cholangiography (IC) represents the most reliable investigation for common bile duct stones even during laparoscopic cholecystectomy (CHE). To reduce operating time, safety of selective IC was analysed in the last 308 consecutive patients undergoing conventional elective CHE. Obvious indication for common bile duct investigation excluded, IC was performed only in case of elevated liver function tests (n = 83, 26.9%), in 12 cases (14.5%) with positive in 2 cases (2.4%) with false positive result. In 255 (73.9%) patients IC was omitted. All patients were controlled after 4 months: no retained duct stone became evident in any case. Selective IC is safe and cuts time.
术中胆管造影（IC）即使在腹腔镜胆囊切除术（CHE）期间也是胆总管结石最可靠的检查方法。为了缩短手术时间，对最近连续接受常规择期CHE的308例患者的选择性IC安全性进行了分析。排除胆总管检查的明确指征后，仅在肝功能检查异常（n = 83，26.9%）的情况下进行IC，12例（14.5%）患者结果为阳性，2例（2.4%）为假阳性。255例（73.9%）患者未进行IC。所有患者在4个月后接受检查：在任何情况下均未发现残留胆管结石。选择性IC安全且节省时间。
