Open AccessMobilization cholangiography
Author(s) -
O. S. Kochnev,
V. N. Biryaltsev
Publication year - 1981
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj84105
Subject(s) - medicine , major duodenal papilla , biliary tract , cholangiography , bile duct , common bile duct , stenosis , acute cholecystitis , cholecystitis , radiology , cholecystectomy , general surgery , gastroenterology , surgery , gallbladder
Determination of the state of the biliary tract and the terminal part of the common bile duct is one of the most difficult issues of intraoperative diagnosis in complicated cholecystitis. Currently, none of the surgeons doubts the need for intraoperative cholangiography and its value. It is she who allows to identify in many patients the presence of calculi in the biliary tract, to determine the degree of expansion of the common bile duct and bile hypertension, the state of the terminal part of the common bile duct. However, the analysis of radiographs performed during 170 surgical interventions for various degrees of stenosis of the large duodenal papilla showed that even this most reliable method of intraoperative diagnosis has a significant drawback.