Zusammenfassung
Bei 3–7% der wegen Gallenblasensteinen cholezystektomierten Patienten warden Ductus-hepatocholedochus-Steine erstmals intraoperativ mit der Cholangiographie oder Sonographie entdeckt. Jedoch stellt sich dem Operateur die Frage, ob die ansteigende Komplikations- und Morbiditätsrate die routinemäßige Untersuchung des Ductus hepatocholedochus rechtfertig — ganzabgesehen von den Kosten. Wird die Entscheidung nur von der absoluten klinischen Indikation und relativen klinischen Indikationen abhängig gemacht, so führt dies in bis zu 45% der Fälle zu negativen Resultaten [4].
Übersetzt von G. und J. H. Simanowski.
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© 1991 Springer-Verlag Berlin Heidelberg
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Jakimowicz, J.J., Rutten, H. (1991). Intraoperative Sonographie des Gallenwegssystems — eine Alternative zur intraoperativen Cholangiographie. In: Simanowski, J.H., Mendel, V. (eds) Ultraschall in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75541-5_9
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