Vorpahl U, Hürtgen M, Padberg W, Henneking K
Klinik für Allgemein- und Thoraxchirurgie, Justus-Liebig-Universität, Giessen.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1173-6.
In the present study, we intend to evaluate whether intravenous cholangiography, performed on a routine basis in the preoperative period, in addition ultrasonography, history or elevations of serum bilirubin and alkaline phosphatase, provides any supplementary information in detecting patients with asymptomatic calculi in the common bile duct before laparoscopic cholecystectomy is carried out. Therefore, 513 patients were included in a retrospective analysis. From our data, we conclude that preoperative intravenous cholangiography cannot be recommended, when costs and risks and a potential benefit for the patient are considered.
在本研究中，我们旨在评估，除了超声检查、病史以及血清胆红素和碱性磷酸酶升高情况外，术前常规进行的静脉胆管造影术，在腹腔镜胆囊切除术实施前检测胆总管无症状结石患者时是否能提供任何补充信息。因此，对513例患者进行了回顾性分析。从我们的数据来看，考虑到成本、风险以及对患者的潜在益处，我们得出结论，术前静脉胆管造影术并不值得推荐。
