Schramm H, Büttner K, Jünemann K, Hohmann U
Chirurgische Klinik I, Klinikums Gera.
Zentralbl Chir. 1998;123 Suppl 2:34-6.
Laparocopic cholecystectomy requires essentially the safe exclusion of choledocholithias. The aim of this study was to compare the intravenous cholangiography and ERCP in addition to a basic program (case history, laboratory results ultrasound) with references to the diagnostic ability and therapeutic consequences in patients with choledocholithiasis. The results show, that the intravenous cholangiography not provides extra important informations after the case history, ultrasound and laboratory findings and therefore its general use is not justified. Instead of the intravenous cholangiography the preoperative ERCP should be performed generously if choledocholithiasis is suspected, especially because the ERCP offers the possibility to extract the stone.
腹腔镜胆囊切除术本质上需要安全排除胆总管结石。本研究的目的是除了基本程序（病史、实验室检查结果、超声）外，比较静脉胆管造影和内镜逆行胰胆管造影（ERCP）在胆总管结石患者中的诊断能力和治疗效果。结果表明，在了解病史、超声和实验室检查结果后，静脉胆管造影并未提供额外的重要信息，因此其普遍应用并不合理。如果怀疑有胆总管结石，应广泛进行术前ERCP而非静脉胆管造影，特别是因为ERCP提供了取出结石的可能性。
