Benign strictures of the biliary ducts.
Benign strictures of the biliary ducts.
复制标题
胆管良性狭窄。
DOI：
10.1001/jama.1947.02880200017004
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发表时间：
1947
影响因子：
--
通讯作者：
R. Cattell
中科院分区：
文献类型：
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作者：
R. Cattell
胆管良性狭窄的处理是腹部外科手术的难点之一。虽然从病史中诊断通常是明显的，但手术干预以恢复胆汁进入胃肠道的正常流动存在许多技术问题，需要外科医生的最大聪明才智。本文将报道1945年1月1日之前在Lahey诊所进行手术的123例患者。从那时起，又有38名患者接受了治疗，我最近的一些经验将被讨论，因为在此期间技术方法得到了进一步的改进。由于良性狭窄大多是胆囊切除术过程中手术事故的结果，因此不应特别强调良性狭窄的预防。此外，由炎症或结石引起的狭窄
The management of benign strictures of the biliary ducts is one of the most difficult problems in abdominal surgery. While the diagnosis is usually evident from the history, the operative intervention to restore the normal flow of bile into the gastrointestinal tract presents many technical problems and requires the greatest ingenuity on the part of the surgeon. This paper will report on a series of 123 patients operated on at the Lahey Clinic previous to Jan. 1, 1945. Since that time 38 additional patients have been treated, and some of my most recent experiences will be discussed, because further improvements in technical methods have been made during this period. No presentation of this subject should be made without particular emphasis on the prevention of benign strictures, since most of them are the result of a surgical accident during cholecystectomy. Furthermore, strictures that result from infalmmation or from a stone that