| Autor: |
Berci, George, Shore, J. Manny, Morgenstern, Leon, Hamlin, J. Andrew |
| Zdroj: |
World Journal of Surgery; July 1978, Vol. 2 Issue: 4 p411-424, 14p |
| Abstrakt: |
Choledochoscopy has become a clinically accepted adjunct to choledochotomy as a result of recent advances in optics and instrumentation technology. Experience with this diagnostic modality during the past 18 years has led to the development of a compact, right-angled, rigid, rod-lens choledochoscope. Because of the excellent image quality and easy manipulation of this new instrument, choledochoscopy can be easily incorporated into routine surgical procedures on the biliary tract. Clinical results of choledochoscopy in a recent series of 120 consecutive choledochotomies are presented. The incidence of retained stones was reduced to 2%. Further advantages were: direct endoscopic removal of calculi, biopsy of biliary tumors, and immediate interpretation of questionable operative cholangiograms. Direct visual diagnosis of the problematic distal duct facilitated appropriate operative management without prolonging operating time. The procedure was carried out without increasing the complication rate beyond that of standard choledochotomy. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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